APPLICATION FORM GENERAL INFORMATION Registered Business Name: Mailing Address: Telephone Number: Fax Number: Website: MANAGEMENT CONTACT INFORMATION HR Director/Manager’s Name Telephone (Direct): Mobile E-mail Address: Principal Contact - Survey Coordinator Position Title: Telephone (Direct): Mobile E-mail Address: SURVEY METHOD (please tick) Electronic (Internet based) COMPANY SIZE CATEGORY Small (up to 25 staff)Medium (26 – 150 staff)Large (151+ staff) COMPANY DATA Please provide a general overview of the organisation (including core services/products and markets served etc.) EMPLOYMENT STATISTICS Year Number of Full Time Employees Number of Part-Time Employees Are your employees unionised? YesNo EMPLOYEE BENEFITS INFORMATION Which of these benefits do your currently offer to employees? Medical InsurancePension InsuranceLife InsuranceDisability InsuranceTuition ReimbursementEducation LeaveProduct DiscountsPayment For Cell Phone ExpensesFully Maintained Company VehiclePaternity LeaveResidential land line serviceUniforms/Clothing Allowance Subsidised meals (free or discounted)Preferential LoansResidential Internet AccessClub MembershipProfessional SubscriptionsEntertainment AllowanceTravel Allowance (Local)Travel Allowance (Overseas)HousingUtilitiesPerformance Based Compensation HOW DID YOU HEAR ABOUT BBE 2022? Print MediaRadioTV Other: (specify) We submit this application to indicate our interest in participating in the Barbados’ Best Employers programme. I have read and understood the conditions of the entry and acknowledge that the information provided is factual and accurate. On successful progression to the second stage of the BBE programme, an administrative VAT inclusive fee becomes payable as follows: $350.00 Small Category$675.00 Medium Category$1,400.00 Large Category PAYMENT OPTIONS Payment By Cheque Please make cheques payable to Caribbean Catalyst Inc. Mailing Address: P.O. Box 152, Cheapside, St.Michael Online Banking For banking details contact Junelle Brathwaite at 260-2861 or Email: [email protected]