Contractor Owner Peer Group Candidate Information (All Information is Confidential)

YOUR NAME*

COMPANY NAME*

YOUR TITLE*

EMAIL ADDRESS*

COMPANY INFORMATION

COMPANY ADDRESS*

CITY*

STATE/PROVINCE* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntario

ZIP/POSTAL CODE*

COMPANY PHONE NUMBER*

NUMBER OF UNION EMPLOYEES*

NUMBER OF N0N-UNION EMPLOYEES*

CLASS OF WORK (check all that apply)*
CommercialIndustrialResidentialInstitutional

CLASS OF WORK (please provide more specifics)*

TYPE OF WORK (check all that apply)
Abrasive BlastingAcoustic CeilingArchitectural Glass & MetalCommercial CoatingsDecorative FinishesDrywall FinishingElectrostatic PaintingEpoxy CoatingsIndustrial CoatingsFaux FinishesFlooringRoof CoatingsTraffic/Line StripingWall CoveringOther

IF OTHER, PLEASE DESCRIBE:

ARE YOU INTERESTED IN BEING IN A GROUP WITH OTHER TRADES?*
YesNo

TOTAL YEARLY COMPANY INCOME*

TOTAL YEARLY UNION HOURS*

PERSONAL INFORMATION

HOME ADDRESS*

CITY*

STATE/PROVINCE* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntario

ZIP/POSTAL CODE*

PERSONAL PHONE NUMBER*

WHAT ARE YOUR HOBBIES AND INTERESTS?*

WHAT DO YOU HOPE TO GET OUT OF YOUR GROUP PARTICIPATION?*

WHAT GOALS DO YOU HAVE IN PARTICIPATING IN A PEER GROUP?*

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