First name *
Last name *
E-Mail *
Phone number *
LinkedIn Profile
Which company do you work for?
In which business function do you operateLeadershipFinanceTechnologyMarketing & CommunicationsSalesOperationsHuman Resources & PeoplePolicyOther
Pronouns
he/him
she/her
they/them
prefer to self -define
please tick one that applies to your application
Best LGBTQ+ centric recruitment/talent strategy
Outstanding LGBTQ+ ERG
Outstanding LGBTQ+ policies and practices
LGBTQ+ Outreach Award
LGBTQ+ Event / Initiative of the Year:
Lifetime achievement award
Inspirational role model of the year
D&I Lead of the Year
LGBTQ+ Ally of the Year
1. What activities or initiatives have you organised or supported to help progress LGBTQ+ understanding or inclusivity in the workplace? What did you contribute and what were the results? *
(This could include organising an event to explore LGBTQ+ issues, fundraising for an LGBTQ+ cause, or changing an official workplace policy, etc.)
2. What three reasons can you give for why you should be shortlisted for your chosen award? *
(These could include having raised a certain amount of money for LGBTQ+ charities, setting up an LGBTQ+ employee resource group, or having been an active ally of the LGBTQ+ community for several years. Please list any specific achievements or endorsements from others here.)
3. Please tell us in 70 words or less what LGBTQ+ inclusion means to you and why you think it’s important. *
4. If you could give one piece of advice to LGBTQ+ community members on how to progress their career in insurance, what would it be and why?
5. Please provide a reference we can contact to support your application. *
(This could be someone who’s worked with you, someone you’ve helped, an event speaker, or a charity liaison, etc)
Would you like to be invited to speak at upcoming events on diversity and inclusion in insurance?
6 + 0 = ?Please prove that you are human by solving the equation *
Business name *
Business contact *
Website
Business contact email *
About you
1. What activities or initiatives has your company organised or supported to help progress LGBTQ+ understanding or inclusivity in the workplace? What did you contribute as a company and what were the results? *
2. What three reasons can you give for why your business deserves to be shortlisted for your chosen award? *
3. Please tell us in 70 words or less what LGBTQ+ inclusion means to your business and how it fits with your company culture and values. *
0 + 4 = ?Please prove that you are human by solving the equation *
Colleague or friend first name *
Colleague or friend last name *
Colleague or friend email *
Colleague or friend phone number *
Who does your colleague or friend work for?
Colleague or friend LinkedIn profile
What are your colleague or friend pronouns
them/they
not sure
prefer to self define
1. What activities or initiatives has your colleague/friend organised or supported to help progress LGBTQ+ understanding or inclusivity in the workplace? What did they contribute and what were the results? *
2. What three reasons can you give for why your colleague/friend should be shortlisted for your chosen award? *
3. Please provide a reference we can contact to support your application. *
(This could be someone who’s worked with your colleague/friend, someone they have helped, a senior manager in your organisation, an event speaker, or a charity liaison, etc)
1 + 6 = ?Please prove that you are human by solving the equation *
