Program Registration

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Assessment Process

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Assessment Process

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Your Content Goes Here

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• Heightened Company Pride: If your company appears on the list, it could improve employee morale and retention.
• Public Relations and Marketing Advantage: Organizations can use the distinction to enhance recruiting efforts, increase the value of general marketing and improve reputations.
• The BCG Insights Report Package: BCG shares its comprehensive assessment of your firm’s performance in an efficient, results-oriented reporting platform. We identify the strengths and weaknesses of your workplace, according to what employees have to say. The report package is used to identify opportunities to improve engagement.

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Program Registration

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Before completing the registration form on this page, Best Companies Group needs you to agree and commit to the following statements. The form will not submit until all fields are filled out completely and accurately.

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Program Registration

Executive Authorization Consent *

I have authorization from the executive(s) to enter this organization into the program.

Eligibility Requirements Met *

The organization I am registering meets the Eligibility criteria.

Survey Completion Agreement *

The organization must complete BCG's two part survey process including the Employer Benefits & Policies Questionnaire (EQ) and the Employee Engagement & Satisfaction Survey (EESS) according to the Timeline.

Minimum Response Agreement *

The organization must receive a minimum number of responses on the EESS to ensure our data is credible. If not enough responses are received, our ability to be considered for the list or to receive a statistically valid BCG Insights Report package may be impacted.

Fees Agreement *

We understand that we are responsible for paying the non-refundable registration fee and for any other additional services ordered (customization, translation fees, additional reporting, etc).

If we withdraw after [acf field="registration_deadline" post_id="3856"], we will incur an additional $250 withdrawal fee to remove our organization from the process.

Final Authorization and Executive Consent *

By entering my name below, I agree and commit to all of the above statements and confirm that I am authorized by the executive(s) of this organization.

Your Information

First Name *

Last Name *

Title *

Email *

Phone *

No home or cells phones, please.

Extension

Organization Information

Organization Name *

Legal Name

FEIN/Business Number

Industry * Please selectAccountingAdvertising/PR/MarketingArchitectureBankingConstructionConsultingDefenseDistributionEducationEngineeringFinancial Services - OtherGovernmentHealthcare - Insurance/ServicesHealthcare - ProviderHospitality/Travel/TourismInsurance - Non-HealthcareLegalLife Science/BiotechnologyManufacturingNonprofit – Health & Human ServicesNon-Profit - OtherPublishing/PrintingReal EstateRestaurantRetailServices - OtherStaffingTechnologyTelecommunicationsTransportationOther Industry

Organization Address *

No home addresses, please.

Organization Address Line 2

City *

State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip *

Organization County *

Is this a corporate address? *

Yes

No

If no, please enter the corporate address below.

Corporate Address

No home addresses, please.

Corporate Address Line 2

City

State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip

Website *

Twitter Handle

Please indicate if your company has more than one location. Please give us no more than two locations, any more than two and, due to space constraints, we will need to list your location as “multiple cities.” This information will be used in promotional items including news releases to the media, the awards event, special publication, etc.

Number of Locations * One CityTwo CitiesMore Than Two Cities

Primary City Location

Second City Location

Contact Information

Tell us about your people!

Primary Contact

The Primary Contact will be the main contact for questions throughout the entire process and the recipient of all communications (via emails, phone, website and letters), employee surveys for distribution, feedback reports, etc.

Primary Contact Salutation * Please selectM.Mr.Ms.Mrs.MissDr.Prefer not to Answer

Title *

First Name *

Last Name *

Email *

Phone *

No home or cells phones, please.

Extension

Primary Contact Address *

No home addresses, please.

Primary Contact Address Line 2

City *

State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip *

Is this contact an employee of the company? *

Yes

No

Secondary Contact

The Secondary Contact will be the contact for questions if the Primary Contact is unavailable.

Secondary Contact Salutation * Please selectM.Mr.Ms.Mrs.MissDr.Prefer not to Answer

Title *

First Name *

Last Name *

Email *

Phone *

No home or cells phones, please.

Extension

CEO, President, Manager, Etc.

This should be the highest-ranking position of the nominated workplace.

Salutation * Please selectM.Mr.Ms.Mrs.MissDr.Prefer not to Answer

Title *

First Name *

Last Name *

Phone *

No home or cells phones, please.

Phone Extension

Email *

Highest Ranking Address *

No home addresses, please.

Highest Ranking Address Line 2

City *

State * AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWIWVWY

Zip *

IT Contact

The IT Contact 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.

IT Contact Salutation * Please selectM.Mr.Ms.Mrs.MissDr.Prefer not to Answer

First Name *

Last Name *

Phone *

No home or cells phones, please.

Phone Extension

Email *

Marketing/PR Contact

Contact will handle any marketing and/or public relations questions for your organization.

Marketing Contact Salutation * Please selectM.Mr.Ms.Mrs.MissDr.Prefer not to Answer

First Name *

Last Name *

Phone *

No home or cells phones, please.

Phone Extension

Email *

Human Resources Contact

Contact will handle any human resources related questions for your organization.

HR Contact Salutation * Please selectM.Mr.Ms.MissMrs.Dr.Prefer not to Answer

Title *

First Name *

Last Name *

Phone *

No home or cells phones, please.

Phone Extension

Email *

Program Registration

Number of Employees: Tell us how many employees you have.

If you employ more than 250 [acf field="eligibility_region" post_id="3856"] people, we will survey a random sample of your employees. Please enter the total number of [acf field="eligibility_region" post_id="3856"] employees (See Eligibility) working at this organization. Please do not include temporary, seasonal or per diem employees, PRN, 1099 employees/independent contractors, volunteers, interns, outside consultants or staffing employees placed by other organizations. (See Eligibility)

Full-time [acf field="eligibility_region" post_id="3856"] Employees *

Part-time [acf field="eligibility_region" post_id="3856"] Employees *

Total [acf field="eligibility_region" post_id="3856"] Employees *

You must have a total of at least 15 employees to continue.

Participation Fees

Your registration fee depends on how many employees you have at your organization. Please see the chart below to determine the survey selection, as well as the fees regarding organization size. You will receive an invoice at a later date or you can choose to pay online at the end of this form.

Number of Eligible [acf field="eligibility_region" post_id="3856"] Employees	Number of Eligible [acf field="eligibility_region" post_id="3856"] Employees Surveyed	Online Fee*
15 – 24**	All	$[acf field="15-24_fee" post_id="3856"]
25 – 99	All	$[acf field="25-99_fee" post_id="3856"]
100 – 199	All	$[acf field="100-199_fee" post_id="3856"]
200 – 499	Up to 250***	$[acf field="200-499_fee" post_id="3856"]
500 – 2,499	350***	$[acf field="500-2499_fee" post_id="3856"]
2,500 +	400***	$[acf field="2500_fee" post_id="3856"]

*Fees are non-refundable. **To ensure the credibility of the information, companies with 15-24 employees must have an 80% (or better) response rate on the employee survey to be considered for the list. ***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.

Number of eligible employees as indicated above. *

Please selectCategory 15 - 24 - $795 USDCategory 25 - 99 - $820 USDCategory 100 - 199 - $920 USDCategory 200 - 499 - $970 USDCategory 500 - 2499 - $1040 USDCategory 2500 + - $1080 USD

Survey Additional Employees? For employee populations over 250 we survey a random selection or, would you like to survey additional employees?

Yes, I'm interested

The cost to survey additional employees is $1.50 per additional employee surveyed

Please tell us about your United States employees. Please do not include temporary, seasonal or per diem employees, PRN, 1099 employees/independent contractors, volunteers, interns, outside consultants or staffing employees placed by other organizations.

Full-time US Employees *

Part-time US Employees *

Total US Employees *

Additional Information

Tell us about your survey needs.

Does your organization need alternate language surveys? * NoYes

We offer employee surveys in a variety of languages. Additional languages are available at $199 per survey translation. If you need alternate language surveys, please select the languages below, and we will contact you to confirm your selections. Selecting "YES" above will add $199 to your cart, per language.

Alternate Language Translation

Spanish – Latin American - 199.00 USD

Spanish – European - 199.00 USD

Portuguese - 199.00 USD

French – Canadian - 199.00 USD

French – Creole - 199.00 USD

French – Parisian - 199.00 USD

Chinese - 199.00 USD

Japanese - 199.00 USD

Other Language - 199.00 USD

Additional Alternate Language (Other) *

Are you interested in customizing your employee survey? Please selectYes, I'm interested in receiving more information.No

As part of the survey design process your organization has the option to customize the employee survey to include changing job roles/department selections, adding a location question, surveying all or additional employees and adding additional questions. If selected, you will be contacted by a survey specialist to learn more about these options.

Additional Questions

Did this organization participate last year? *

Yes

No

What name did this organization participate under last year, if different than listed on this form?

How did you hear about the program? * Please select- Editorial- Print ad- Online ad- Email- Phone call- NewsletterBest Companies Group - EmailBestCompaniesGroup.com - WebsiteBest Companies Group - LetterBest Companies Group - Phone callInternet Search/GoogleOther How did you hear about the program?

Submit Your Registration

You're almost done! (All fees are non refundable)

TOTAL

Payment Options * Pay Online NowInvoice Me

Billing First Name *

Billing Last Name *

Billing Address *

Billing Address

Street Address

Street Address

Building or Suite Number

Building or Suite Number

City

City

State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

State/Province

Zip/Postal

Zip/Postal

Credit Card *

Credit Card

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Credit Card Year 20252026202720282029203020312032203320342035

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