COMPANY INFORMATION
Company Name:
Year Founded: Family Owned?: Yes No
Company Mailing Address
City:
State:
Zip + 4:
Office Street Address:
County:
Phone:
Total # Employees (FTE):
NAICS Code:
Non-Profit: Yes No
Arts Organization: Yes No
Fed Tax ID#:
- or - Tax Exempt #
Unions:
Bargaining Unit:
Contract Expiration:
Industry (check one)
Manufacturing
Professional
Financial
Retail
Distribution
Construction
Healthcare
Service
Describe the nature of your business:
Does your company provide any form of Human Resources Services/Products? Explain.
Chief Executive Officer
Name: Title:
email:
Human Resources Manager
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