Individual Awards Agency/Corporate Department Title Page Inclusion Awards Category Nominated Honoree Name, Title, Agency/Corporate Department Submitted By: Name, Title, Agency/Corporate Department Date Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Overview Please provide a brief summary of the entrant’s initiatives or activities and impact that can be used in the program journal and press releases if your submission wins an award This summary should be in the form of a few paragraphs, limited to 300 words Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Objectives Briefly describe the purpose(s) of the initiative(s) or activities that the individual contributed to or led Examples Drive leadership accountability Promote participation in programs Recruitment, Retention, Development and Promotions Career development Client partnerships Multicultural/inclusive marketing Supplier Diversity Inclusive work environment Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Initiatives/Activities Briefly describe the initiatives/activities that were implemented Examples of above-and-beyond involvement in implementation Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Results/Value of Individual’s Contributions Briefly describe results or outcomes of the activities/initiatives the individual should be recognized for Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Supporting Information (1) Several types of supporting material may be presented on the last two slides Data, charts, graphs Photos Testimonial quotes Samples of news clippings Awards Video (2 minutes max; provide link; videos longer than 2 minutes will be sent back for editing) Please Note: Materials provided may be used in the presentation at the Inclusion Awards. Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019

Supporting Information (2) Several types of supporting material may be presented on the last two slides Data, charts, graphs Photos Testimonial quotes Samples of news clippings Awards Video (2 minutes max; provide link; videos longer than 2 minutes will be sent back for editing) Please Note: Materials provided may be used in the presentation at the Inclusion Awards. Agency Logo Goes Here Reminder: Entry Applications due by 5:00p.m. ET on Monday, June 17 2019