Name:
Date Founded:
Address:
Phone Number:
Website:
Sector:
Brief Description:
Total revenue/ Income in reporting year:
Total number of full-time employees:
Number of part-time employees:
Click here to calculate the % Workforce
% of workforce:

Indicate ownership by equity-seeking populations:
Organization officer / director who vouches for the integrity of the completed assessment.
3rd party verifier of the methodology and data used in the answers in the completed assessment:
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