Become A Member

Support your organization in making a breakthrough in diversity & flexibility.

Thank you for your interest in becoming a member of the Alliance!

Please submit the membership application below.

A confirmation message will appear on the screen after your application is successfully submitted. If you do not see a confirmation message, your application was not received.

If you have any questions or encounter any problems when submitting your application, please contact Manar Morales.

Organizations with 50 or fewer employees – please contact Manar Morales for adjusted pricing.

Fields marked with an * are required:

Organization Name*
Website*
Address*
Address Line 1 Address Line 2 City State / Province / Region ZIP / Postal Code Country
Membership Level*
- Champion ($10,000 per year)
- Leader ($7,500 per year)
- Advocate ($5,000 per year)
Main Point of Contact*
The Alliance will communicate with the main point of contact regarding the organization's membership, including benefits usage and renewal. This contact will have access to the online Member Resource Center. By default, all main points of contact are subscribed to the Alliance's weekly mailing list.
First Last
Main Point of Contact's Title*
Main Point of Contact's Email*
Main Point of Contact's Phone*
Please list the names and contact info for any additional main points of contact (max 3 total):
The Alliance will communicate with the main points of contact regarding the organization's membership, including benefits usage and renewal. These contacts will have access to the online Member Resource Center. By default, all main points of contact are subscribed to the Alliance's weekly mailing list.
Billing Contact (if different from Main Point(s) of Contact)
The Alliance will communicate with the billing contact regarding membership invoices. This person can be the same as a main point of contact.
First Last
Billing Contact's Title:
Billing Contact's Email
Should the Billing Contact be subscribed to the Alliance's weekly mailing list?
- Yes
- No
Your Name (if different from main contact)
First Last
Your Email (if different from main contact)
Please list any contacts in your organization (HR, Recruiting, Professional Development, Diversity, Women's Initiatives, etc.) who should be subscribed to the Alliance's weekly mailing list:
Note: Emails consist of the weekly Friday Forecast, monthly newsletter, and periodic event announcements. Please reach out to an Alliance team member if you do not start to see emails in your inbox.
How did you hear about the Alliance?*
Please upload a copy of your organization's logo for inclusion on our website:
Accepted file types: jpg, png, Max. file size: 128 MB.
Email
This field is for validation purposes and should be left unchanged.

Become A Member

Support your organization in making a breakthrough in diversity & flexibility.

Thank you for your interest in becoming a member of the Alliance!

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