Company
Name (Company name as it should appear in print):
|
* |
Legal
Name of the Company (If different than listed
above.): |
|
Federal
Employer Identification Number (FEIN): |
|
Mailing
Address:
(No home addresses) |
* |
City: |
* |
County: |
* |
State: |
|
Zip Code: |
* |
Company Web Site URL: |
* |
Industry: |
* |
Industry Other: |
|
|
Primary
Contact
(This person will be the main contact
for questions throughout the entire process
and the recipient of all communications (via
emails, phone, Web site and letters), employee
surveys for distribution, feedback reports,
etc.)
|
Salutation: |
* |
First Name: |
* |
Last Name: |
* |
Title:
|
* |
Mailing
Address:
(No home addresses) |
* |
City: |
* |
State: |
|
Zip
Code: |
* |
Direct
Dial Phone Number:
(No home or cell phones please) |
* |
Fax
Number: |
* |
Email
Address: |
* |
|
Secondary
Contact (This person will be the contact
for questions if the primary contact is unavailable.) |
Salutation: |
|
Name: |
|
Title: |
|
Direct Dial Phone
Number:
(No home or cell phones please) |
|
Email Address: |
|
|
CEO,
President, Manager, Etc. (Highest-ranking
position in the state of the nominated workplace.) |
Salutation:
|
|
Name: |
|
Title: |
|
Mailing
Address:
(No home addresses) |
|
City: |
|
State: |
|
Zip
Code: |
|
Direct Dial
Phone Number:
(No home or cell phones please) |
|
Email
Address: |
|
|
IT
Contact (This person will be the contact
for any technical systems questions regarding
online surveys - for all employer questionnaires
and online surveys for employees - regarding
filtering, spam content, white-listing, etc.) |
Salutation: |
* |
Name: |
* |
Direct Dial Phone Number:
(No home or cell phones please) |
* |
Email Address:
|
* |
|
Marketing/PR
Contact (This person will handle any
marketing and/or public relations questions
for your company.) |
Salutation: |
* |
Name: |
* |
Title: |
* |
Direct Dial
Phone Number:
(No home or cell phones please) |
* |
Email
Address: |
* |
|
Additional
Company Information: |
Total
number of employees in San Diego only
(EXCLUDING temporary/seasonal and per
diem employees). |
Total
San Diego Employees: |
* |
Full-time
Employees: |
* |
Part-time
Employees: |
* |
Total
number of employees in the United States (excluding
temporary/seasonal and per diem employees). |
Total
US Employees: |
* |
Full-time
Employees: |
* |
Part-time
Employees: |
* |
*
Participation fee:
The fees are based on the size of the
company and the selected survey method.
|
 |
Number
of Employees in SD |
#
Employees Surveyed |
Online
Fee |
Paper
Fee(1) |
|
15 - 24 |
All
|
FREE |
$230 |
|
25
- 99 |
All |
FREE |
$375 |
|
100 - 199
|
All |
FREE |
$505 |
|
200
- 499 |
Up
to 250(2) |
FREE |
$585 |
|
500 - 2499 |
350(2) |
FREE |
$685 |
|
2500
+ |
400(2) |
FREE |
$840 |
|
(1) A nominal non-refundable
paper fee to cover the cost of printing,
processing and shipping the paper
surveys.
(2) Employees are randomly selected. |
|
*
Survey Type: Please
select what kind of survey you would like
to receive. |
Online
Employee Survey (Electronic): |
|
Paper
Employee Survey (Hard Copy): |
|
|
|
|
|
Special
Offer
Purchase your Employee Feedback
Report Now and Save.* This report
details the results of your company’s
specific survey results to each
of the 78 survey questions. The
report also includes state benchmarking
as well as the employee comments
transcribed exactly as submitted
by employees. Similar reports can
cost thousands of dollars if initiated
independently.
Number
of
Employees in
SD |
Pre-survey
Pricing (discount)* |
Regular
Pricing |
Savings |
|
15 -
24 |
$740 |
$820 |
Save
$80 |
|
25
- 99 |
$765 |
$850 |
Save
$85 |
|
100 -
199
|
$865 |
$960 |
Save
$95 |
|
200
- 499 |
$915 |
$1,020 |
Save
$105 |
|
500-2499 |
$985 |
$1,095 |
Save
$110 |
|
2500
+ |
$1,025 |
$1,140 |
Save
$115 |
|
No,
thank you |
|
*After March 23, 2018 the reports
go back to regular pricing. |
|
|
Questionnaire:
|
How did you hear about the
program? |
|
If Other |
|
|
|
Did you participate last
year? |
|
If yes, Name of the company
if it is
different than above: |
|
|
|
|
|
|
Name
of person completing this registration form: |
Your
Name: |
* |
Your
Title: |
* |
Your
Email Address: |
* |
Are
you authorized to enter your
company into this process: |
* |
Commitment: |
* I
understand that by clicking this submit button,
our company is entered into the "Best Places
to Work in San Diego" program. I am committing
to meet all deadlines and complete both portions
of the assessment process. If at any point we
choose to withdraw from the process, we will notify
a representative of Best Companies Group at 1-877-455-2159
immediately. Companies withdrawing after March
23, 2018 will incur a $250 withdrawal fee in addition
to the total fees incurred for any special requests
(customization orders, language translations,
paper survey processing, etc.). All fees are non
refundable. |
IMPORTANT:
If any of the contact information changes
at any point in the process, please notify
Katrina Heimbach at
KHeimbach@BestCompaniesGroup.com immediately.
|
|
Checkout
Options: |
Option 1: |
My organization is eligible
for the free online survey. We do not
need language translations, paper surveys
nor do we wish to order the Employee Feedback
Report at this time. |
|
|
Submit my Free Registration |
Option 2: |
My organization needs
paper surveys, language translations
or wishes to order the Employee Feedback
Report. |
|
*
Payment: |
Pay online now
Invoice me |
Please
note your registration will not go through
if the verification code is entered incorrectly.
In the event you enter the verification
code incorrectly, or your browser times
out, you will be directed back to the
top of the registration form, with all
of the fields blank. You can try hitting
the F5 key to autofill the form, then
re-check your information before submitting
(please note this key function will not
work with certain browsers). |
|
|