Complete the form below to become a Period Positive Workplace Organization Name * Contact Name * We will reach out to this person about the Period Positive Workplace certification First Name Last Name Email * What country(ies) is your organization located in? * Approximately how many employees work for your organization? * Which industry or sector best represents your business? * Healthcare Technology Education Retail Hospitality Finance Manufacturing Nonprofit/NGO Government/Public Sector Entertainment/Media Agriculture Construction Transportation/Logistics Professional Services (e.g., legal, consulting) Energy/Utilities Other If you selected "Other", please specify your industry. Are period products provided in or near every bathroom used by people who menstruate in your organization? * This is a requirement to become a certified Period Positive Workplace. This includes bathrooms at every facility, from corporate offices to warehouses and everywhere in between. If you have not yet implemented period products in your workplace, review our Implementation Guide for more information. Yes No Are the period products complimentary for all employees? * Yes No Are period products for customers and patrons complimentary? * Yes No When did your organization first begin providing period products? * MM DD YYYY Are the washroom facilities in your workplace equipped with a pit latrine or toilet in a well-lit, well-ventilated, safe area with a locking mechanism; a hand-washing facility that includes clean water and soap or sanitizer; toilet paper; and a waste bin? * This is a requirement to become a certified Period Positive Workplace. Yes No Have you notified employees that period products are and will continue to be provided? * This is a requirement to become a certified Period Positive Workplace. You are welcome to inform your employees via any formal notice (e.g., sending an email, announcing it at a staff meeting, updating your employee benefits or HR handbook, etc.). Yes No Will your organization participate in the 30-minute Gender Equity and Menstrual Health educational webinar? * We will send you upcoming dates of the webinar when we email you. Yes No Do you consent to future contact and data collection pertaining to the implementation of Period Positive Workplaces? * Yes No Do you consent to your organization's logo being displayed on PeriodPositiveWorkplace.org and affiliate material? * Yes No Please provide a hyperlink to a high-resolution file of your organization's logo. The file can be stored on Google Drive, Dropbox, or any other file-sharing platform. Are you willing to share your story? * Yes No If applicable, what is your organization's Instagram handle? Once your certification is approved, we plan to create a post welcoming your organization as a new Period Positive Workplace. Subscription Consent * You can unsubscribe from these communications at any time. For more information on how to unsubscribe, our privacy practices, and how we are committed to protecting and respecting your privacy, please review our Privacy Policy. I agree to receive communications from Period Positive Workplace. Thank you for your effort to advance menstrual equity and become a Period Positive Workplace!We will send you a Period Positive Workplace Certification within 2-4 weeks. If we need more information before certification, you will be contacted through email.
