LEI Commitment to Caring Pledge
I, in an executive role, pledge to take action and commit my organization to caring for LGBTQ+ older adults by creating an inclusive, welcoming and culturally competent and responsive environment, free from discrimination. With this pledge, our organization is committing to working with SAGE and taking intentional steps toward adopting policies and practices that foster, cultivate and preserve a culture of diversity, inclusion, fairness and equality for all of our residents and staff, including those who identify as LGBTQ+.
What type of organization are you signing this pledge for?
A senior living/care corporation (i.e. a parent organization that owns or operates multiple individual residential long-term care and senior housing communities)
A single senior housing community/facility (i.e. skilled nursing, assisted living, independent living, memory care, free standing hospice, continuing care retirement community, affordable senior housing, active-adult community)
Organization Details
Organization Name
Number of senior housing properties
Please enter a whole number
Individual Community/Facility Name
Parent Company Name
If not applicable, please leave this space blank.
Website
Address
Apt./Suite
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Postal Code
Level of Care
Affordable Senior Housing
Assisted Living
Continuing Care Retirement Community/Life Plan
Independent Living
Memory Care
Skilled Nursing
Stand-Alone Hospice
Other
If you are a system, please select all of the applicable levels of care for your organization.
Individuals Details
First Name
Last Name
Title
Email Address
Additional Contact First Name
Additional Contact Last Name
Additional Contact's Title
Additional Contact's Email Address
How did you learn about the LEI?
At a conference
From a colleague
LeadingAge
LinkedIn
McKnight's
News Article
Online Search
SAGE
Other
Pledge Confirmation
By submitting this form, I, an executive at my organization, am signing the Long-Term Care Equality Index's Commitment to Caring Pledge on behalf of my organization and will begin the process of reviewing and adopting policies and practices that foster, cultivate and preserve a culture of diversity, inclusion, fairness and equality for all of our residents and staff, including those who identify as LGBTQ.
Please select this box to acknowledge the commitment then sign below.
Signature
Please type in your name to confirm your "signature".