Elevate Co-Lab Organization Sign-Up Form | Institute for Methods Innovation

About the project

Elevate Co-lab project (elevatecolab.com), funded by the Dana Foundation (dana.org) and delivered by the Institute for Methods Innovation (methodsinnovation.org), invites you and yor organization to join a co-created, community-driven problem-solving process to understand and elevate neurodiverse contributions in the workplace.

Here’s how your organization can get involved:

Host a pilot program: Be a leader by hosting a pilot program at your location. We will offer you project management, implementation support, and evaluation to ensure the successful delivery of the pilot within your organization.
Invest financially: Support the project’s growth and sustainability through financial contributions. This help the project launch more pilot programs and spread the word about what is working.
Contribute expertise: Share your knowledge and skills by participating in the design and execution of the project’s events and pilot programs.
Donate time: Enable your employees to participate and grow.
Become a sponsor: Support parts of the project like workshops and events. This will enhance visibility and affirm your organization’s commitment to inclusivity.

If you are interested in any involvement in the project, proceed to the next page

Consent to participate in the project

This project aims to collaboratively identify and implement priorities for making workplaces more inclusive.

Please indicate whether you consent to participate in this survey and project:

I consent to participate in the Elevate Co-lab project and for any data that I submit to be used for project-related purposes.

In addition, please let us know if you opt-in to each kind of future contact:

Yes, you may contact me about participating in project-related activities such as follow-up interviews.

Yes, you may keep me up to date on Elevate Co-lab project results using the contact details I provide.

Yes, you may contact me to participate in other future projects.

Do you consent to the statements below regarding photography, video or audio recordings ("media") from participation in the project?

I will be unable to inspect or approve the finalized version of media.
All such media, and any reproduction thereof may be used in perpetuity.
Media may appear publicly as part of the [event] website and/or other research, educational and marketing activities.

I consent to my image, video, and voice being recorded during project activities, and used under the conditions in the above statements.

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Organization name:

Organization website:

Industry:

Organization size (full-time staff):

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Primary contact details

First name

Last name

Position:

Email address

Phone number:

Do you have secondary contact details?

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Are you familiar with your organization's current practices regarding neurodiverse employees?

Do you currently have neurodiverse employees within your workforce?

Yes

No

Unsure

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How would you like to participate in the Elevate Co-lab?

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Please provide any additional information or questions you may have:

I agree to be contacted by Elevate Co-lab regarding my organization's participation in the project

Please click Submit to send your responses.