Equity Readiness Interest Form

Please complete the follow information so we can notify you of the next Equity Readiness workshop. If you have additional questions, please contact us at events@azimpactforgood.org.

Fields marked with an * are required.

Company/Organization Name (if applicable)

First Name *

Last Name *

Email *

Customer Street Address *

Customer City *

Customer County *

Customer State *

Customer Zip Code *

County *

Office Phone *

Group Agreement *

I understand that I can attend this workshop as an individual or I can attend with my organization as a group of 3 or more staff/board to be eligible to receive additional consulting outside of the workshop. We highly recommend that one of the group members be the CEO/ED or a C-suite level staff person.

Additional Comments

Please verify that you have checked the “I'm not a robot” checkbox.