Skip survey header

HERoes Submission

Submission Form

Section 1: About you
For guidance on completing this form, please refer to ourĀ submissions guide.
Which list are you making a submission for? *This question is required.
This should be your work email address This question requires a valid email address.
This should be a PA or a member of your Communications team (if applicable) This question requires a valid email address.
If you have more than one, please choose the title which best describes your daily role.
Company size *This question is required.
Have you previously appeared in a HERoes list? *This question is required.
Section 2: Your role
Do you oversee/manage a team? *This question is required.
How large are the teams you oversee? *This question is required.
Section 3: Diversity
Section 4: Your internal work for gender diversity and women's inclusion
Are you currently a member of/involved in any internal groups promoting gender diversity and women's inclusion? *This question is required.
Please bullet point your answer and include the time frame of each initiative/activity.
Section 5: Your profile
You may wish to include:
  • speaking engagements or panel discussions
  • diversity and inclusion awards
  • media opportunities including interviews, articles and being quoted
Please include the date of each prominent engagement/accolade.
Section 6: Your public work supporting gender diversity and women's inclusion
Are you currently involved in any external organisations promoting diversity and women's inclusion not associated with your company? *This question is required.
Please bullet point your answer and include the time frame of each initiative/activity.
Section 7: Further information and headshot
You may wish to include:
  • any information on your personal journey or any specific life events which have influenced or inspired your work supporting inclusion
  • how you believe you best embody the characteristics of a Role Model for others
  • prominent initiatives/activities to promote diversity and inclusion beyond the last two years.
Please use bullet points.
Please upload a high resolution professional headshot.Requirements:
  • at least 1500x750 pixels
  • landscape orientation
  • PNG or JPG file type
  • maximum 50MB