Company Name*

NIP

Address*

Is your company taking part in the campaign again?*YesNo

Name and surname*

Position*

E-mail*

Phone number

Number of employees

WWW website

Is the entire capital group joining the Campaign?Yes

If a capital group joins the Campaign, please enter the number of companies

Are you considering/deciding to invite your foreign branches to the action?YesNoI don't know

Enter in which countries, even if you are just planning such an opportunity, or go to the next point

Industry*AGDArchitectureConsultingEducationEnergeticsFMCGFinance and insuranceTradeInstitutionsITMediaAutomotiveNGOReal estateHealthcareSocial assistanceAgricultureEntertainmentTransportOther

Is your Company planning to reduce working time on May 15 or on a different day in May or June?Yes

Are you considering purchasing the ASK ME game for your emploees?YesNoI don't know

Are you interested in participating in the Family Friendly Company Competition?YesNoI don't know

Are you interested in receiving a certificate of participation in the HumanBE – Two Hours for Family initiative?YesNoI don't know

Are you interested in participating in HumanLINK – the Social Network Analysis study (ESG Reporting)?YesNoI don't know

Is your management board interested in ESG training? According to the CSRD directive, the board must undergo at least basic training in the ESG field.YesNoI don't know