Company Information

Please enter the following information about your company. This information is kept in the strictest of confidence. Only data in the aggregate will be shared. Information on individual companies will not be shared.

1. Company Name

2. Contact Name

3. Contact Phone

4. Location: (Name of City or Village)

5. Type of Business (primary function):

6. Does your business sell products or services: (Check all that apply.)

7. How many Full Time Equivalent employees do you currently employ?

8. How does your current level of employment compare to one year ago?

9. How many new positions do you plan to add in the next 12 months?

10. Does the company have plans to expand in the next three years?