Employer of Choice Award – Baseline Application
Timetable for Employer of Choice Award:
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July 31, 2015 – Deadline to submit applications (does not need to be a MA employer)
August – Applications reviewed by committee (made up of previous winners
and representatives of EANE and the Massachusetts Chamber)
October – Site visits if necessary
November 2015 – Present award
Instructions for Completing this Form:
Save this form to your computer. Use the tab key or mouse to move between the questions or options.
To select a check-box, click on the box next to the answer. To un-check a box, click on it again.
Applicant Information:
The information we are requesting is to allow us to understand your organization and compare it to
other applying organizations. The data further allows us to interpret your application in the context of
the size of the business, key results and employee constituency.
Organization Name:
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Are you applying for the award for:
Single-site
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Multiple sites ☐
If multiple, please describe (Western MA, specific city, etc.)
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Owner/CEO:
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Name of Primary Contact:
E-Mail Address:
Address:
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City: Click here to enter text.
State: Click here to enter text. Zip Code: Click here to enter text.
Phone #: Click here to enter text.
Website: Click here to enter text.
Years in Business:
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Please choose the category that best describes your business:
☐ Manufacturing
☐ Service
☐ Profit
☐ Non-Profit
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Employer of Choice Award – Baseline Application
The following data will only be used in the comparative evaluation of the applications. All data will be
treated confidentially. Your data should only include that which is relevant to the applying unit or units
(in the case of multiple-site organizations).
1. The average number of employees (including management):
Full-Time
Part-Time
Total Employment
(Full Time Equivalent)
= full time plus part
time converted to
fulltime schedule
2012
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text.
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text.
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text.
2013
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text.
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text.
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text.
2014
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text.
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text.
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text.
2. In 2014, the average number of:
Average Number in 2014
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Executives and Managers
Supervisors
Union Members (If Applicable)
3. What percentage of employees left your organization:
Calendar Year:
2012
2013
2014
Voluntary Turnover Percentage
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4. What percentage of turnover was voluntary?
Calendar Year:
2012
2013
2014
Voluntary Turnover Percentage
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5. What percentage of turnover was involuntary (company initiated terminations)?
Calendar Year:
2012
2013
2014
Involuntary Turnover Percentage
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Employer of Choice Award – Baseline Application
6. What is the average turnover in your industry?
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7. Number of new hires: how many employees were hired?
Calendar Year:
2012
2013
2014
Number of New Hires
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COMPENSATION & BENEFITS
1. Do you have a formal compensation plan?
☐Yes
☐No
2. Do you have a pay-for-performance system?
☐Yes
☐No
3. What is your compensation strategy?
Above market
At market
Below market
4. Please indicate what benefits you currently provide employees. Add other benefits to the
list, as appropriate.
BENEFITS
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Health Insurance Plan
HSA with company contribution
HSA with no company contribution
HRA
FSA (Health and/or Dependent Care
Wellness Program
Dental Plan
Vision Insurance
Life Insurance
Disability Insurance
Vacation/PTO Pay
Sick Pay
Retirement (401K)
Defined Benefit Retirement Plan
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Stock Options
On-site fitness center facilities
Profit-sharing bonuses
Tuition reimbursement
On-site day care
Elder care provisions
Subsidized cafeteria
Employee Assistance Program
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5. Is the total compensation package competitive for your industry? ☐ Yes ☐ No
6. How do you benchmark your total compensation package?
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7. What industry leading pay or benefit strategy do you employ that you believe separates you
from other employers?
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Employer of Choice Award – Baseline Application
CULTURE
An Organization’s Culture refers to its values, beliefs, and behaviors … both spoken and unspoken. It
strongly influences how employees behave individually and how they interact with each other.
Among other things, it deals with respect, attitudes towards excellence and how customers are viewed.
The following questions address your Organizational Culture:
1. Does your organization have stated core values?
If yes, what are these?
☐ Yes ☐ No
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2. Whether stated or unstated; how are these reinforced throughout the organization?
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3. a.
Give specific examples that show your employees embody your core values.
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b.
Give specific examples that show your company’s environment is consistent with
your core values.
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4. Give specific examples of how teamwork is displayed within departments,
between department, among leadership and between leadership and all other employees.
5. What has been the measured level of employee engagement over
the last 12 months?
☐ Above 95%
☐ 90 to 94%
☐ Less than 90%
If less than 90% please indicate what percentage:
☐ 35 to 40%
☐ 41 to 50%
☐ Over 50%
☐ we don’t measure it
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☐ we don’t measure it
6. If measured, describe how you determine the percentage of employee satisfaction:
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Employer of Choice Award – Baseline Application
7. What has been the measured level of customer satisfaction over the last 12 months?
☐ Above 95
☐ 90 to 94%
☐ Less than 90%
☐ We don’t measure it
If less than 90% please indicate what percentage: Click here to enter text.
How do you measure customer satisfaction?
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8. Do your employees know what they can specifically do to positively impact customer
satisfaction? Please provide two examples.
Example 1:
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Example 2:
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9. What do you do on a daily, weekly, monthly and annual basis to ensure that you have a
highly engaged workforce? Give specific examples with measured outcomes where
applicable.
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11. How do you ensure that managers and supervisors have and maintain strong, applied
leadership skills? Click here to enter text.
12. Which of the following tools are used by employees to share ideas and concerns?
(check all that apply)
☐ Intranet
☐ Open Door Policy
☐ Idea Program
Describe success of these programs:
☐ Suggestion Box
☐ Staff Meetings
☐ Lunch with a Senior Leader
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13. Do employees participate in setting individual and department goals?
☐ Yes ☐ No
14. Describe any policies, practices and training that reinforce health, safety and environmental
consciousness as a top priority in your company.
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Employer of Choice Award – Baseline Application
15. What has been the OSHA incident rate (IR) or Accident Frequency Rate (AFR) for the past
three (3) calendar years compared to your industry standard? Click here to enter text.
2012 Click here to enter text. 2013 Click here to enter text. 2014 Click here to enter
text.
Organization IR
2012
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2013
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2014
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Organization AFR
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Industry’s IR
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Industry’s AFR
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16. What steps have you taken to minimize our incident rate and improve your safety record?
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17. What else would you like us to know about the culture within your organization?
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Employer of Choice Award – Baseline Application
COMMUNICATION
Communication is often listed among the top needs by employees. Excellent communication typically
characterizes companies with a high level of employee engagement. The following questions ask you to
describe the effectiveness and extent of communication throughout your organization:
1.
How do you communicate the company’s vision, mission and goals throughout the
organization?
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2.
How do you ensure that business performance data is communicated to all employees
regularly and on time?
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3.
What tools and processes are used to communicate employees’ roles and
responsibilities?
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4.
What tools and processes are used to communicate performance expectations,
feedback and coaching?
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5.
What unique and creative ways have you used to improve communication at your
company?
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6.
How did you identify the need for this unique communication tool?
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Employer of Choice Award – Baseline Application
TRAINING AND DEVELOPMENT
Personal and professional growth is a strong motivator. Today as employees concentrate on their
current and future marketability. The following questions address how you encourage growth and
opportunity for your employees:
1.
What training/educational opportunities does your company support?
(Check all that apply):
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Job skills training
English as a second language
Community college programs
College degree programs
Leadership
Respect in the Workplace
☐ Vocational or Technical Education
☐ Basic computer skills
☐ Industry recognized certification programs
☐ Supervisory
☐ Customer Service
☐ Bullying
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Project Management
☐ Emotional Intelligence
☐ Yes ☐ No
2.
Does your organization help pay for these programs?
3.
What percentage of your company’s budget is allocated to training annually? Please
enter percentage.
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4.
Please describe any annual training required of employees:
5.
Does your organization require a minimum number of professional development hours
or programs for employees, managers and leadership team members? If so please
enter the number of required hours and programs.
All Employees
Only Managers
Only Leadership Team
# of Hours
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Required Programs
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What else would you like us to know about your Training and Development initiatives?
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Employer of Choice Award – Baseline Application
LIFE WORK BALANCE
Companies that offer benefits and policies to allow employees to manage the competing demands of
work, family, friends and community have a competitive advantage in recruiting, retention, productivity
and customer service levels. The following questions address how your policies and practices support the
challenges of balancing the demands of work and life.
1.
What alternative work schedules does your company offer that support life work
balance?
☐ Flex Time
☐ Telecommuting
2.
☐ Remote work place
☐ Work from home at times
What other alternatives do you offer to a traditional work schedule?
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3.
Please check all that apply regarding programs, incentives or benefits that you offer to
promote health and wellness.
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Comprehensive Wellness Programs
Health Club/Gym Membership
Smoking cessation classes or reimbursement for classes
Weight loss classes or reimbursement for classes
Weight loss control
Blood pressure checks/cholesterol checks/Flu shots
Stress reduction/Time management
Wellness Fairs
Pre-natal classes
Only what is provided through insurance
Other (please specify) Click here to enter text.
What organizationally unique things do you do to improve employees work life balance?
(Example: Provide time off for school activities or coaching etc.)
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5.
What organizationally unique things do you do to recognize or reward your employees?
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Employer of Choice Award – Baseline Application
6.
In addition to mandated state and or federal required time off (FMLA), what paid or
Unpaid time off do you offer?
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RECOGNITION AND REWARDS
Effectively applying fundamental principles of rewards and recognition lets employees know that their
valuable contributions are important and their efforts are appreciated. The following questions address
some of these fundamental considerations and how they are applied in your organization.
1.
What recognition programs are in place to acknowledge employee performance?
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2.
Does your company have a budget for recognition programs?
☐ Yes
☐ No
3.
Is there some type of profit- or gain-sharing plan?
☐ Yes
☐ No
Please provide any other comments that you would like to make relevant to the Employer of
Choice Award:
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Thank you for applying for the Employer of Choice Award. The application must be emailed or
postmarked by July 31, 2015. If you are submitting this as a Microsoft Word document, please do one of
the following:
1.
Email the form to:
pbrunault@eane.org or
2.
Print and mail to:
Peter Brunault
Employers Association of the NorthEast
P.O. Box 1070
Agawam, MA 01001- 6070
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