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2011 Program Registration

Thank you for your interest in participating in the 2011 "Best Places to Work in Connecticut" program. Registration is simple, however we encourage you to read the Assessment Process information carefully before submitting your registration form.

To participate, all companies begin by filling out and submitting a registration form either online or by downloading the PDF Registration form and faxing it to 717-236-6803.

Registration Deadline: October 8, 2010

Once the registration information is received by Best Companies Group, companies will receive a confirmation email (which will include additional instructions) and an invoice via postal mail. There is a nominal participation fee to cover the costs associated with the evaluation process. The participation fee is based upon the size of the company.

Participation fees: Fees differ and are determined based upon the size of the company and the survey method chosen.  Please note that we cannot combine both survey methods. 

Number of Employees 
Number Employees Surveyed 
Online Fee(1) 
Paper Fee(1) 
15 - 24(2)
All
$605
$710
25 - 99
All
$630
$870
100 - 199
All
$730
$1,100
200 - 499
Up to 250(3)
$780
$1,220
500 - 2499
350(3)
$850
$1,385
2500 +
400(3)
$890
$1,575

(1) Fees are non-refundable. (2) To ensure the credibility of the information, companies with 15-24 employees must have an 80% (or better) response rate to be considered for the list. (3) Employees are randomly selected.

Added Value: Upon completion of the assessment process, all participating companies will receive an Employee Feedback Report which details the results of their specific survey. Similar reports can cost thousands of dollars if initiated independently. Once the registration form is received, Best Companies Group will send the company (according to the timeline):

  • The Employer Benefits & Policies Questionnaire (employer questionnaire)
  • The Employee Engagement & Satisfaction Survey
  • Survey distribution instructions
  • Other supporting materials and instructions (see Best Companies Group Assessment Process for more details).

Click here to register online or by downloading the PDF Registration form and faxing it to 717-236-6803.

Company Participation Registration Form
Please read the Assessment Process section before completing the registration form.

 
* required fields! Printable form
Please complete the following information and submit this form. Once the Best Companies Group receives this form, you will be sent a confirmation email with detailed information about the survey process.
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: *
City:
 *
County: *
State:
Zip Code: *
Company Web Site URL: *
NAICS Code:
*To find your code, Click Here
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: *
City: *
State:
Zip Code: *
Direct Dial Phone Number: *
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:
Email Address:
CEO, President, Manager, Etc. (Highest-ranking position in the state of the nominated workplace.)
Salutation:
Name:
Title:
Mailing Address:
City:
State:
Zip Code:
Direct Dial Phone Number:
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: *
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: *
Email Address:
*
Additional Company Information:
Total number of employees in Connecticut (excluding temporary/seasonal and per diem employees).
Total 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 primary contact will be invoiced according to the size of the company and the selected survey method.
Number of Employees
# Employees Surveyed
Online Fee(1)
Paper Fee(1)
  
15 - 24(2)
All
$605
$710
25 - 99
All
$630
$870
100 - 199
All
$730
$1,100
200 - 499
Up to 250(3)
$780
$1,220
500-2499
350(3)
$850
$1,385
2500 +
400(3)
$890
$1,575
(1) Fees are non-refundable.
(2) To ensure the credibility of the information, companies with 15-24 employees must have an 80% (or better) response rate to be considered for the list.
(3) Employees are randomly selected.
* Survey Type: Please select what kind of survey you would like to receive.
Online Survey (Electronic):
Paper Survey (Hard Copy):
   
Additional Survey Options:
 
Does your company need alternate
language surveys?*
* We offer employee surveys in a variety of languages. Additional languages are available at $195 per survey translation. If you need alternate language surveys, please select the above button and you will receive additional information.
 
If Other
Is your company interested in customizing the job role and department category demographics on the employee survey?
Yes, I am interested in receiving more information.
There is a fee to customize. What is this?
 
Questionnaire:
How did you hear about the program?
If Other
   
Did you participate last year?
Please be aware that as part of the “Best” program, a certain threshold of employee survey responses must be received in order for the analysts to consider the survey data valid. If a company does not meet this threshold, their full consideration for the “Best” list may be jeopardized, even resulting in elimination. In the rare case a company’s response rate is extremely low, a statistically valid Employee Feedback Report will not be presented.
 
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 Connecticut" program. I am committing to meet all deadlines, complete both portions of the assessment process and pay the registration fee. 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 October 8, 2010 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.) and the registration fee.
In order to submit this form, please input the verification code as listed below. Once the code is entered, please click the area outside the box in order for the submit button to become available. Please note that the page will time out if you have had the page open for an extended period of time. 

* Check the information you have entered, then click Submit

IMPORTANT: If any of the contact information changes at any point in the process, please notify Jackie Miller at jackiem@bestcompaniesgroup.com immediately.
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