Question Title

* 1. Nominator Name and Title

Question Title

* 2. Phone Numer

Question Title

* 3. Email Address

Question Title

* 4. Company Name

Question Title

* 5. Mailing Address

Question Title

* 6. Number of Employees

Question Title

* 7. Number of Professional Engineers (PEs)

Question Title

* 8. Number of Engineers in Training (EI/EITs)

Question Title

* 9. Has the company been in business for more than 5 years?

Question Title

* 10. Company provides employees paid sick, vacation, or paid time off.

Question Title

* 11. Employees have access to group medical insurance.

Question Title

* 12. Company provides new employee orientation.

Question Title

* 13. Company provides financial assistance for employees to attend relevant seminars, classes, or conferences.

Question Title

* 14. Employees are encouraged and supported in philanthropic and community endeavors.

T