Follow-up Form for Workplace Flexibility Events

Thank you for your efforts to advance Workplace Flexibility in your community. Now that you have held your event, we would like to hear about it. Please share the following information with us so we can highlight the significant events happening around the country and the action steps planned as a result of the events.

Required

Was your event registered with the White House?:

Name of Event:

Type of Event:

Key Objectives:

To select more than one option, please hold the control key and click on each relevant option.

Date of Event:

Time of Event:

City:

State:

Number of Attendees:

Attendees:

Please select all of the different stakeholders that attended your event. To select more than one option, please hold the control key and click on each relevant option.

Takeaways and Outcomes:

Please share major takeaways and outcomes of your event(e.g., Action Steps; Workplace Policy Changes; Resolutions Passed; etc.)

Point of Contact First Name:

Point of Contact Last Name:

Point of Contact Email Address:

Disclaimer:

I agree.

Please check this box if you would like your contact information made available so that other interested parties, such as non-governmental groups interested in workplace flexibility, can exchange ideas with you, share materials and resources, or learn about your event.

Follow-up Form for Workplace Flexibility Events

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