Thank you for your interest in participating in the 2012 Best Companies to Work for in Colorado program. Registration is fast and easy.

To participate, simply fill out this online registration form. If you close your browser without completing and submitting your form, your data will not be saved and you will have to start over. If you do not receive a "Registration successfully submitted" confirmation email message from us, we have not received your completed application.

Once ModernThink receives this form, you will be sent a confirmation email message with information about next steps.

If any of the contact information supplied below changes at any point in the process, please notify the ModernThink Project team at ColoradoBest@modernthink.com.


All fields are required

Today's Date:
Company Information:
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:
City:
County:
State:
Zip Code:
Company Web Site URL:
NAICS Code and Industry:
Primary Contact (This person will be the main contact for questions throughout the entire process and the recipient of all communications.):
Salutation:
First Name:
Last Name:
Title:
Mailing Address:
City:
State:
Zip Code:
Direct Dial Phone Number:
Fax Number:
Email Address:
Secondary Contact (This person will be the contact for questions if the primary contact is unavailable.):
Name:
Title:
Direct Dial Phone Number:
Email Address:
IT Contact (This person will be the contact for any connectivity testing and any related technical questions.):
Name:
Title:
Direct Dial Phone Number:
Email Address:
Additional Company Information:

Total number of employees in Colorado (excluding temporary, seasonal and per diem employees) :
Total Employees:
Full-time Employees:
Part-time Employees (employees working less than 20 hours per week):
Participation fee (The primary contact will be invoiced according to the size of the company and the selected survey method.):
Size Number of
Employees		 # Employees
Surveyed		 Online Fee Paper Fee
Small* 25-99 All $688 $962
Medium 100 - 249 All $853 $1128
Large 250 - 399 250* $1018 $1293
Large (400+ employees) 400 or more 400* $1018 $1293
*randomly selected
For paper surveys, there is an additional $2.50 processing fee per survey sent.
Survey Administration:
Online Survey (Electronic)
Paper Survey (Hard Copy)
Is your company interested in customizing the Job Role and Department demographics on the employee survey?
Yes     No
Did you participate last year?
Yes     No
How did you hear about the program?
IMPORTANT Please be aware that as part of the Best Companies to Work for in Colorado 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 list may be jeopardized.

I understand that hitting the submit button enters our company into the 2012 Best Companies to Work for in Colorado program and that being considered for recognition requires completion of the ModernThink Infrastructure and Practices Inventory; as well as the ModernThink Insight Survey. If at any point we choose to withdraw from the process, we will notify ModernThink at 1-888-684-4658 as soon as possible. Registration fees are non-refundable and will be invoiced upon registration.