Company Survey

Best Places to Work - COMPANY Entry Form

This nomination form should be completed by a Human Resource Professional or company executive.

Please understand that the Best Places to Work Committee reserves the right to request verification of information provided in this company nomination survey.

Survey completed by (name & title)

(This Person will be the main contact for questions throughout the entire process and the recipient of all communications)

Company name: (As you would like it to appear in print)


Year Founded


Mailing Address


Phone


Fax


E-Mail


Company Internet web Site (URL)


Chief Executive Officer (Highest ranking position in the workplace)


Head Human Resource Officer


Number of full time employees (excluding temporary & seasonal)
Not yet Answered Is headquartered in the Coastal Bend and has 5 to 50 employees. Is headquartered in the Coastal Bend and has 51 to 250 employees. Is headquartered in the Coastal Bend and has 251 or more employees. Is Not headquartered in the Coastal Bend region (must have at least 25 local employees)