LGBT Business of the Year

Excellence in Business Awards Applications-
LGBTQ Business of the year

* Indicates required field

1. Your business' name *

Your Name *

Email / Phone # *

2. Is your business (10 points) *

LGBTQ owned and operated LGBTQ friendly

If you checked LGBTQ friendly, what makes your business LGBTQ friendly? *

3. Does your primary non-discrimination or equal employment opportunity policy include the terms (check all that apply; 10 points) *

Sexual orientation Gender identity or expression

Please attach a copy of your employee and job applicant non-discrimination or equal employment opportunity policy. *

Max file size: 20MB

4. Does your business offer employee health insurance? *

Yes No

Does the health insurance plan afford coverage for the medically necessary health care services that transgender people need, including transition-related treatment such as genital affirmation surgery, hormone therapy, and mental health counseling? (5 points) *

Yes No

5. What is your and your employees' involvement in the Greater Lehigh Valley Chamber of Commerce? (10 points) *

6. Describe your and your employees' involvement in the LGBTQ community in the Lehigh Valley? Pennsylvania? (15 points) *

7. What has your company done to support and/or advance LGBTQ rights in the Lehigh Valley and Pennsylvania? (15 points) *

8. Why do you believe your business is qualified to receive the LGBTQ Business of the Year award? (10 points) *

Please attach two testimonial letters to your application from customers or outside business partners, not employees. *

Max file size: 20MB

Please return completed application no later than noon on March 29, 2019 to:

Brittany Wiltshire
Greater Lehigh Valley Chamber of Commerce
840 Hamilton Street, Suite 205
Allentown, PA 18101

PHONE: (610) 295-9824; FAX: (610) 437-4907
E-mail: brittanyw@lehighvalleychamber.org

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