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2014 Program Registration

Thank you for your interest in participating in the 2014 "Best Places to Work in Virginia" 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 717-412-7307.

Registration Deadline: August 30, 2013

Once the registration information is received by Best Companies Group, companies will receive a confirmation email which will include additional instructions.

Participation fees: Participation is free unless you need us to administer the survey via traditional paper surveys (fees are for printing, shipping and processing of the surveys). 

Number of Employees 
Number Employees Surveyed 
Online Fee 
Paper Fee(1) 
15 - 24(2)
All
FREE
$155
25 - 99
All
FREE
$300
100 - 199
All
FREE
$430
200 - 499
Up to 250(3)
FREE
$510
500 - 2499
350(3)
FREE
$610
2500 +
400(3)
FREE
$765

(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. Best Companies Group offers the option to survey more employees than the random sample calculated in the above chart, and/or include additional employees in the survey process who work in locations outside of the program area. Please contact Best Companies Group for details and pricing.

Once the registration 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 Assessment Process for more details).

Click here to register online or by downloading the PDF Registration form and faxing it to 717-412-7307.

Company Participation Registration Form

Please read the "Assessment Process" section before completing the registration form.
  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.

* required fields!

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 Virginia (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 is Free (1)
Please select the survey type and the corresponding amount of employees that your company has. For paper surveys, the primary contact will be invoiced according to the size of the company for the paper survey method.
Number of Employees in VA
# Employees Surveyed
Online Fee
Paper Fee(1)
  
15 - 24(2)
All
FREE
$155
25 - 99
All
FREE
$300
100 - 199
All
FREE
$430
200 - 499
Up to 250(3)
FREE
$510
500-2499
350(3)
FREE
$610
2500 +
400(3)
FREE
$765
(1) A nominal non-refundable paper fee to cover the cost of printing, processing and shipping the paper surveys.
(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.
Free Online Survey (Electronic)
Paper Survey (Hard Copy) There is a nominal participation fee to cover the costs associated with the paper surveying process (printing, processing and shipping the paper surveys).
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 this 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?
   

Special Offer!
Purchase your Employee Feedback Report Now and Save 10% off the price!* This report details the results of your company’s specific survey results to each of the 72 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.

*Discount expires August 30, 2013

Number of
Employees in VA
Pre-survey Pricing (10% discount)
Regular Pricing
Savings
  
15 - 24
$655
$730
Save $75
25 - 99
$680
$755
Save $75
100 - 199
$780
$870
Save $90
200 - 499
$830
$920
Save $90
500-2499
$900
$1,000
Save $100
2500 +
$940
$1,045
Save $105

After August 30, 2013 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:
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 (if purchased) 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 Virginia" 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 August 30, 2013 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.).
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. Should this occur, please print this page and fax to 717-412-7307 or email the form to madelonm@bestcompaniesgroup.com.

* 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 Madelon Miuccio at madelonm@bestcompaniesgroup.com immediately.
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