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2013 Program Registration

Thank you for your interest in participating in the 2013 "Best Places to Work in PA" program. Registration is simple, however we encourage you to read the Assessment Process and Eligibility 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: June 7, 2013

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.

**Upon registration, if your primary contact does not receive confirmation via email within the next business day with an attachment of instructions, please call 1-877-455-2159 to confirm that your registration has been received. Please note that Best Companies Group primarily works through email. Please make sure that your IT team white-lists the following email address so that it will be an approved sender and just in case, please consistently check your spam or junk folder for any updates from

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 In PA Number of Employees Surveyed
25 - 99 All
100 - 199 All
200 - 499 Up to 250(1)
500 - 2499 350(1)
2500+ 400(1)
(1) 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 PA. Please contact Best Companies Group for details and pricing.
Number of Employees in PA
Online Fee(2)
Paper Fee(2)
25 - 250
$815
$1,410
Over 250
$1,015
$1,910
(2) Fees are non-refundable.

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 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 (employee survey)
  • Survey distribution instructions
  • Other supporting materials and instructions (see Assessment Process for more details).
* 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:
(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 Pennsylvania (excluding temporary/seasonal and per diem employees).
See Eligibility on the website for further information.
Total Employees: *
Full-time Employees: *
Part-time Employees: *
Total number of employees in the United States (excluding temporary/seasonal and per diem employees).
See Eligibility on the website for further information.
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 PA
# Employees Surveyed
Online Fee(1)
Paper Fee(1)
 
25 - 250
All
$815
$1,410
Over 250
Random Sample(2)
$1,015
$1,910
(1) Fees are non-refundable
(2) 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.
* Survey Type: Please select what kind of survey you would like to receive.
Online Employee Survey (Electronic):
Paper Employee Survey (Hard Copy):
   
Additional Survey Options:
 
Does your company need alternate
language surveys?*
Yes
No
* 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 you decide to pay online below, selecting yes to this section will automatically add the $195 to your bill.
 
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 of $695 to customize. What is this?
 
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 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 PA" 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 June 7, 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.) and the registration fee.
IMPORTANT: If any of the contact information changes at any point in the process, please notify Jackie Miller at jackiem@bestcompaniesgroup.com immediately.
Payment Options:
* Payment:
 Pay online now
Invoice via postal mail
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
 
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