Skip to content
MADD
Menu
Close
Solving The Problem
Solving the Problem
The HALT Act
Drunk Driving
Technology & Safe Rides
Court Monitoring
Drugged Driving
Underage Substance Use
Why 21
Power of Parents
Power of You(th)
Power of Me!
MADD’s Promposal
Statistics
Reports
Equity and Traffic Safety Enforcement
Law enforcement
Law Enforcement Support
Recreational Vehicle Safety
Get Help
Get Help
Victim Assistance
I’m a Concerned Community Member
Victim Impact Panels
Get Involved
Get Involved
Ways to Give
Give One Time
Give Monthly
Ways to Give
Find a Local Office
The MADD Network
MADD Sports
Walk Like MADD
Honor
Light A Candle
Create a Tribute
Create a Fundraiser
Act
Advocate
Volunteer
Influence
Driving Change with MADD
Shop Like MADD
About MADD
About MADD
Contact Us
About MADD
Our History
Victim Care
MADD Leadership
MADD National Board
MADD National Ambassadors
Partners
Diversity
News
Press Release
PSA’s
Blog
Careers
Legal
Donate
24/7 Help
Solving The Problem
Solving the Problem
The HALT Act
Drunk Driving
Technology & Safe Rides
Court Monitoring
Drugged Driving
Underage Substance Use
Why 21
Power of Parents
Power of You(th)
Power of Me!
MADD’s Promposal
Statistics
Reports
Equity and Traffic Safety Enforcement
Law enforcement
Law Enforcement Support
Recreational Vehicle Safety
Get Help
Get Help
Victim Assistance
I’m a Concerned Community Member
Victim Impact Panels
Get Involved
Get Involved
Ways to Give
Give One Time
Give Monthly
Ways to Give
Find a Local Office
The MADD Network
MADD Sports
Walk Like MADD
Honor
Light A Candle
Create a Tribute
Create a Fundraiser
Act
Advocate
Volunteer
Influence
Driving Change with MADD
Shop Like MADD
About MADD
About MADD
Contact Us
About MADD
Our History
Victim Care
MADD Leadership
MADD National Board
MADD National Ambassadors
Partners
Diversity
News
Press Release
PSA’s
Blog
Careers
Legal
Solving The Problem
Solving the Problem
The HALT Act
Drunk Driving
Technology & Safe Rides
Court Monitoring
Drugged Driving
Underage Substance Use
Why 21
Power of Parents
Power of You(th)
Power of Me!
MADD’s Promposal
Statistics
Reports
Equity and Traffic Safety Enforcement
Law enforcement
Law Enforcement Support
Recreational Vehicle Safety
Get Help
Get Help
Victim Assistance
I’m a Concerned Community Member
Victim Impact Panels
Get Involved
Get Involved
Ways to Give
Give One Time
Give Monthly
Ways to Give
Find a Local Office
The MADD Network
MADD Sports
Walk Like MADD
Honor
Light A Candle
Create a Tribute
Create a Fundraiser
Act
Advocate
Volunteer
Influence
Driving Change with MADD
Shop Like MADD
About MADD
About MADD
Contact Us
About MADD
Our History
Victim Care
MADD Leadership
MADD National Board
MADD National Ambassadors
Partners
Diversity
News
Press Release
PSA’s
Blog
Careers
Legal
Donate
24/7 Help
DEI Change Request Form
Are you a member of the DEI Council?
No
Yes
Name
First
Last
Council Team
Submission Date
(Required)
MM slash DD slash YYYY
Council Chair
Project Name
Project Manager
POC
Implementation Date
MM slash DD slash YYYY
Identify the service, program, policy, etc. focus
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
What is the suggested change, the intention and recommendation?
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Intended Outcome(s)
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
External Stakeholders to consider
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Risk Identification and Potential Barriers
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Additional Factors to consider:
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Staff and Operations: Identify necessary department(s) involved with the change.
(Required)
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Are there costs associated with this change? If so, please list items that may be updated or changed. If unsure of the cost, please put ‘unsure’.
(Required)
New Deliverable Description
Cost of New Deliverable
Are the costs Budgeted?
Who pays for them?
Add
Remove
Attach supporting document, if necessary.
Accepted file types: ppt, pptx, pdf, xlsx, jpg, doc, docx, Max. file size: 2 MB.
Does this change align with MADD’s Mission? Yes or No?
(Required)
Yes
No
