Statement of Interest for Employee Resource Groups (ERG)

Please review the eligibility requirements and expectations for the Employee Resource Groups (ERG) before submitting the application below.

Program Eligibility

  • Any UW Health & SMPH employee* who meets the following requirements is encouraged to apply
  • At least 0.5 FTE
  • Supervisor signature of support for participation
  • Continues to meet eligibility requirements throughout participation in the program

*Employees in training and student employees are not eligible. Staff, including postdoctoral fellows and graduate students with appointments such as teaching assistant or research assistant, and faculty are eligible. 

Participant Expectations

  • Communicate continuously with supervisor regarding ERG attendance
  • Commit to continued growth and personal development throughout the tenure of time on the ERG
  • Uphold the Conversation Agreements, confidentiality of others, and of UW Health & SMPH
  • Discuss concerns or possible changes to participation with co-chairs

Participant’s Supervisor Expectations

  • Make participant available to attend and participate in meetings (1-2 hours a month) on paid time
  • Support the participant’s ongoing growth and personal/professional development
  • Contact Afra Smith, DEI Program Consultant, at with questions or concerns about participation in the ERG
  • Notify Afra Smith, DEI Program Consultant, at if the participant’s eligibility changes at any time during and/or after the application and selection process

Before submitting a statement of interest

  • Communicate with your supervisor about your interest in joining an ERG. After you hit submit, they will receive an email with instructions on how to approve your involvement. They must complete this for you to join. 
  • Know that if you are selected to participate in this ERG, you will need to work with your supervisor to ensure you get paid to attend these meetings times if they take place outside of your regularly scheduled work hours.

ERG charters

Review the charter for the ERG you are expressing interest in:

Employee Resource Groups (ERG) Statement of Interest

Full name(Required)
MM slash DD slash YYYY
Department, Institute, Center, Office, etc.
Date of hire(Required)
Use first of the month if exact date is not known.
Supervisor's name(Required)
I am applying for membership to the:(Required)
Email Afra Smith ( to apply for the Resident & Fellow (BIPOC) ERG
Are you interested in joining the selected ERG because (please choose one):(Required)
I am aware of the responsibilities, time commitments, and expectations associated with ERG membership:(Required)