CCCE for Businesses & Professionals

To get started with CCCE, please complete the form below.

We want to know why engagement matters to you. Fill out the assessment honestly. And remember, creativity yields community leadership.

If you are human, leave this field blank.

Thank you for your interest in the Covestro Center for Community Engagement. Please provide us with the following information about your company, and we will contact you to develop the best program for you and your employees.

Company Name *

Street Address *

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City

StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces (AA)Armed Forces (AE)Armed Forces (AP)American SamoaGuamNorthern Mariana IslandsPuerto RicoUS Minor Outlying IslandsUS Virgin Islands

Zip code

Contact First Name *

Contact Last Name *

Contact Title *

Email *

Preferred Contact Day and Time *

Number of Employees *

Does your company fulfill a Corporate Social Responsibility (CSR) commitment? *

Yes

No

If "yes," please provide a brief statement about your CSR mission.

What are your main goals in establishing or expanding your employee engagement program (Check all that apply) *

Build employee competencies

Develop professional skills

Increase employee retention or recruitment

Increase employee morale

Build teams for an interconnected work environment

Strengthen community leadership

Engage in social issues

Increase nonprofit partnerships

Other

If you answered "Other" above, please describe your CSR goals.

What is your anticipated program implementation timeline? *

Less than three months

Three to six months

Six months to a year

Long-term commitment

Our company is interested in learning more about the following Covestro Center for Community Engagement programs (Check all that apply)

BoardsWork!

SkillShare

ESC

Community Forums

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