Survey Instructions and Considerations

Any entity name/contact information provided will be hidden from review committee.

All data collected will be used as a benchmark for assessment of the organization's year to year progression.

Many questions on this survey are designed to take less than 30 second to complete, if you have the information readily available. The open-ended questions were created to be flexible and allow you to spend as much time on them as you'd like.

For the best assessment, we do recommend providing as much information as possible as many of the fields will simply be scored on whether or not information was provided to use as a benchmark.

If you have questions about this application, please email jason@uspaacc.com.

All applications are due by March 31, 2023.

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Company or Entity Name *

Headquarters Location

*Organization must be based in the US to qualify

*

Industry *

Annual Revenue *

First & Last Name of Person Submitting Report *

Email Address of Person Submitting Form *

Phone Number of Person Submitting Form *

Company or Entity Logo *

Organizational Category *

Does your organization have at least 750 US-based employees?
*Organization must have at least 750 US-based employees to qualify *

Yes

No

How did you hear about Supplier Diversity Champions? *

Transparency

How does your organization, both publicly and internally, inform and generate awareness of the committement to supplier diversity?

Annual Report *

Yes

No

Sustainability Report *

Yes

No

Social Media *

Yes

No

Website *

Yes

No

Internal Communications *

Yes

No

Internal Training & Awareness *

Yes

No

Other

Can you provide links to examples? *

Yes

No

Provide links here to any examples that can be shared *

Optional File Upload for Examples

Image preview

Scope of Supplier Diversity Program

How do you demonstrate your organization's committment to supplier diversity?

Three to five year strategy in place for program? *

Yes

No

Optional Comments

Program tied to compensations Select any/all that apply.

Is supplier diversity on the organization scorecard? *

Yes

No

Title of person leading program *

To whom does the program leader report? Provide title. *

Number of FTE staff on supplier diversity team *

Do you have additional staff supporting your team? *

Yes

No

Optional Comments

Does the program have a dedicated annual budget? *

Yes

No

In the past year, the program budget was: *

Please provide % increase/decrease of budget. Enter 0 for maintained. *

How often are results provided to procurement teams, stakeholders? *

How often are supplier diversity results reviewed by executive management? *

Does your program have active C-Suite support? *

Yes

No

Provide examples of C-Suite support. *

Do you have or participate in a supplier development/mentor program? Check any/all that apply.

Scholarship Programs (Kellogg, Tuck, etc.)

Internal Mentor Program

External Partner Program

Other, list below Other, list below

Do you support various diversity organizations? Mark any/all that apply.

Do you require third party certification? *

Yes

No

If yes, which providers do you accept? Mark any/all that apply. *

Do you provide in-kind donation or services? *

Yes

No

Do you sponsor suppliers at events? *

Yes

No

Will you provide us with a short description of your supplier outreach program? *

Yes

No

Describe your supplier outreach program here. *

How do you connect diverse suppliers with decision makers?

Highlight a best practice or new initiative you have implemented in the past year.

Best practices will differ based on maturity level of program.

Diverse Spend

Provide diversity spend information below for US diverse spend ONLY.

**Please be sure to only include suppliers ONCE in category of choice.
Do NOT double count.

Provide ALL responses in either % or $

% or $ diverse US Spend (MBE, WBE, VBE, LGBT, DOBE)

% or $ MBE US Spend

% or $ MBE US Spend Breakdown. Must equal $ or % above.

	Enter for each. Use 0 if n/a.
% or $ of MBE Spend to Asian Americans & Pacific Islanders	Enter for each. Use 0 if n/a.
% or $ of MBE Spend to African Americans	Enter for each. Use 0 if n/a.
% or $ of MBE Spend to Hispanics	Enter for each. Use 0 if n/a.
% or $ of MBE Spend to Native Americans	Enter for each. Use 0 if n/a.

% or $ of Non-minority WBE Spend

% or $ VBE US Spend

% or $ LGBT US Spend

% or $ DOBE US Spend

Total US Spend - $ ONLY

% or $ Increase or Decrease YoY. Use negative for decrease.

Select any/all exclusions your organization uses to calculate % of spend.

Does your program include diverse spend in non-traditional categories? Select any/all that apply. *

Do you track the number or percentage of diverse suppliers that transition from bid participation to award? *

Yes

No

Cannot Disclose

What is the bid to award conversion rate? *

Diverse Spend Categories

List your top (5) Categories for Diverse Spend (MBE, WBE, VBE, LGBT, DOBE)

Ex. Construction, IT/Tech, Consulting, Advertising/Marketing, etc.

List your top (5) Categories for Diverse Spend Opportunities

I.e. In which categories could you potentially spend more, but have trouble finding suppliers.

Tier 2 Diverse Suppliers

How do you go beyond the mere existence of the program to measure the diversity efforts of your organization's direct (Tier 1) diverse and non-diverse suppliers in terms of their own diverse spend and diverse count?

Do you have a Tier 2 program? *

Yes

No

Does Tier 2 program have a compliance component? Check any/all that apply.

Contract Clause

Preferred Supplier Status

Other, explain ________ Other, explain ________

Tier 2 % or $

Number of primes reporting

Number of primes requested to report

Provide more information on your Tier 2 program.

Diverse Count

What is the percentage of minority and diverse suppliers that your organization contracts with within a given fiscal year?

# of diverse suppliers (MBE, WBE, VBE, LGBT, DOBE)

% of diverse suppliers in total US suppliers

Have you experienced a net loss in diverse suppliers in the last year? *

Yes

No

What is driving the loss or gain of diverse suppliers?

New Suppliers

What is the percentage of diverse suppliers added in a given fiscal year?

# of new diverse suppliers (MBE, WBE, VBE, LGBT, DOBE) with spend greater than $50k added in past year

Executive Signature

Executive Signature Upload (CEO, CFO, COO, CPO, etc.). PDF only.

Click Here to Download Signature Document
*

Upon submission, all answers are finalized. Please verify all data is complete and correct before submitting. Thank you!