EMPLOYEE RESOURCE GROUP ON-LINE APPLICATION As part of our formal Employee Resource Group Application process, the Johns Hopkins Hospital requires that you provide the following information relative to your desired Employee Resource Group. 1. Desired name of your group: 2. Who are your targeted members? 3. Mission statement and/or goals and objectives for your group: 4. Goals of the group: 5. Please provide an introductory message that will be used to construct an electronic invitation that will be delivered via email blast to employees in your target audience: a) If you have already determined a leadership team (e.g., Chair, Vice-Chair and Secretary) for your Employee Resource Group, please list the names of each officer, along with their job title and hospital email address. 6. Are there any existing JHH programs/events that are of interest to your group? If so, please list them: Send questions or requests for more information regarding your Employee Resource Group application to the Office of Workforce Diversity at (410) 955-3516 or bwhites2@jhmi.edu. Completed applications may be submitted via e-mail, fax or in person to: Beverly White-Seals 550 N. Broadway Suite 401 Baltimore, MD 21205 Fax: 410-614-8282 E-mail: bwhites2@jhmi.edu Following the successful submission of the application, including the requested information above, the coordinator(s) will be contacted by the Office of Workforce Diversity to discuss next steps.