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Name *

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Last

Email *

Company

What percentage of your business is owned by a member of the 2SLGBTQI+ community?

Attestation *

• By checking this box, I confirm that I am a member of the 2SLGBTQI+ community.

Job Title/Occupation *

IndustriesAccountingAgricultural EquipmentAgricultural Products and ServicesAirlines and AviationAlternative Dispute ResolutionAlternative MedicineAnimationApparel and FashionArchitectural Consulting and Interior DesignArchitecture and PlanningArts and CraftsAudio and Visual Electronics and ServicesAutomotiveAutomotive ServicesAviation and AerospaceAviation Supplies and ServicesBankingBiotechnologyBooksBridges and Elevated Highways and Tunnels and Subways and RailroadsBroadcast MediaBuilding MaterialsBuilding Projects and Renovation and Demolition ProjectsBusiness Supplies and EquipmentCapital MarketsChemical Products and ServicesChemicalsCivic and Social OrganizationCivil EngineeringClothing and TextilesCommercial Real EstateComputer and Network SecurityComputer GamesComputer HardwareComputer NetworkingComputer ServicesComputer SoftwareConstructionConstruction and Project ManagerConstruction HardwareConstruction Materials and EquipmentConsumer ElectronicsConsumer GoodsConsumer ServicesCosmeticsDairyDefense and SpaceDental Equipment and ServicesDesignE LearningEducation ManagementEducational and Trade Equipment And SuppliesElectrical and Electronic ManufacturingElectrical Supplies and ServicesEnergy Products and Services and ManagementEngineeringEntertainmentEnvironmental and Urban PlanningEnvironmental ServicesEvents ServicesExecutive OfficeFacilities ServicesFarmingFinancial ServicesFine ArtFisheryFood and BeveragesFood ProductionFood ProductsFood Services and Supplies and EquipmentForestry Products and ServicesFuel Products and ServicesFund RaisingFurnitureFurniture and Other Specialty WaresGambling and CasinosGeneral AppliancesGeneral SuppliesGlass, Ceramics and ConcreteGovernment AdministrationGovernment RelationsGraphic DesignHealth, Wellness and FitnessHeating and Plumbing and Mechanical Supplies and ServicesHeavy Equipment and VehiclesHigher EducationHospital and Health CareHospitalityHospitality and Conference and Special Events and Travel ServicesHuman ResourcesHuman Resources and CommunicationsImport and ExportIndividual and Family ServicesIndustrial AutomationIndustrial Vehicles and EquipmentInformation ServicesInformation Technology and ServicesInsuranceInternational AffairsInternational Trade and DevelopmentInternetInvestment BankingInvestment ManagementIT ConsultingJanitorial and Cleaning Services and Equipment and SuppliesJudiciaryLandscaping and Grounds Maintenance and SuppliesLaw EnforcementLaw PracticeLegal ServicesLegislative OfficeLeisure, Travel and TourismLibrariesLibrary Services and SuppliesLogistics and Supply ChainLuxury Goods and JewelryMachineryManagement ConsultingMaritimeMarket ResearchMarketing and AdvertisingMarketing and Promotional and Advertising ServicesMechanical or Industrial EngineeringMedia ProductionMedical Consulting and ServicesMedical DevicesMedical Equipment and InstrumentsMedical PracticeMedical SuppliesMental Health CareMilitaryMining and MetalsMining Products and Services and ConsultingMiscellaneousMotion Pictures and FilmMuseums and InstitutionsMusicMusical Instruments and Supplies and ServicesNanotechnologyNetwork Cabling and Fibre Optics Products and ServicesNewspapersNon Profit Organization ManagementNursery and PlantsOffice Equipment and Services (excluding computers!)Oil and EnergyOnline MediaOtherOutsourcing and OffshoringPackage and Freight DeliveryPackaging and ContainersPainting Supplies and ServicesPaper and Forest ProductsPaper and StationeryParks and Recreational FacilitiesPassenger VehiclesPerforming ArtsPest Control and Animal Services and SuppliesPharmaceuticalsPharmaceuticals and ServicesPhilanthropyPhotographyPlasticsPolitical OrganizationPrimary and Secondary EducationPrimary Educational SuppliesPrintingPrinting Services and Graphics and Imaging and Desktop design and EquipmentProfessional Training and CoachingProgram DevelopmentPublic PolicyPublic Relations and CommunicationsPublic SafetyPublishingRailroad ManufactureRanchingReal EstateReal Estate ServicesRecreational Facilities and ServicesRecreational Vehicles and ServicesRecycling Goods and Waste Removal and Management ServicesReligious InstitutionsRenewable EnergyRenewables and EnvironmentResearchRestaurantsRetailRoads and Sewer and WatermainRoofing Supplies and ServicesSafety Equipment and Services and SuppliesSale of Surplus GoodsScience Equipment and Supplies and Laboratory ServicesSecurity and InvestigationsSecurity Services and SuppliesSemiconductorsShipbuildingShipping and Couriers, Transportation Services and Storage ServicesShipping and FreightSignage and BillboardsSocial Programs and ServicesSporting GoodsSportsSports Equipment and ServicesStaffing and RecruitingSupermarketsTele Consulting and ServicesTelecom Equipment and Supplies and servicesTelecommunicationsTextilesTheatrical and Staging Supplies and ServicesThink TanksTobaccoTools and Supplies and PartsTraining and Education and ConsultingTranslation and LocalizationTransportation and Trucking and RailroadUtilitiesVenture Capital and Private EquityVeterinaryWarehousingWater Treatment and PlantsWholesaleWine and SpiritsWinter Maintenance and SuppliesWirelessWriting and Editing

Select all applicable.

Company percentage multiple

Pronouns *— Select Choice —She/HerShe/TheyHe/HimHe/TheyThey/ThemThey/He/ShePrefer to specify (below)Prefer not to say

Specified Pronouns

If you use multiple pronouns, what are your preferred pronouns?She/HerShe/TheyHe/HimHe/TheyThey/ThemThey/He/SheI do not have preferred pronounsPrefer not to say

Website / URL

What is your preferred language of communication with CQCC?

• English
• French

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