Select Employee Group (SEG) Application
Please complete this application in its entirety and hit the "Submit" button at the bottom of the page. If you have any questions about the application process, you may email Daniel Peters, Sponsor Relations Manager, at dpeters@faaerfcu.org or call him at 888.322.3732 ext. 8126. |
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| Company Name: |
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| Company Address: |
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| City: |
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| State: |
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| Zip: |
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| HR Manager and/or Primary Contact: |
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| Contact Phone Number: |
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| Contact Fax Number: |
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| Contact Email Address: |
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| Nature of Business |
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| How many years has the company been in business? |
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| Are there other locations other than your main office? Please list the locations. |
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| Number of people employed by your company |
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| What percentage of your employees fall into the following annual salary categories? |
% Less than $20,000
% $20,000 to $49,999
% $50,000 to $99,999
% $100,000 or more |
| What percentage of your employees fall into the following payroll categories? |
% Weekly
% Bi-weekly
% Bi-monthly
% Monthly |
| What percentage of your employees fall into the following age groups? |
% Under 21
% 21 - 39
% 40 - 55
% Over 55 |
| Please list any payroll contacts, with phone numbers and/or email addresses |
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| Please list any individuals who could assist us in communication efforts, with phone numbers and/or email addresses |
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| What type of communication vehicles would be accessible to us to contact your employees (please check all that apply)? |
HR Package
New employee package
Brochure racks
Cafeteria table top advertising
In-house email
In-house company periodicals
Other (please list)
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