25%
Questions marked with a * are required
 
 
* Company Name
   
 
 
Headquarters Mailing Address
* Address Line 1 : 
   Address Line 2 : 
* City : 
* State : 
* Zipcode : 
 
 
 
* Company Web Site
   
 
 
 
* Business Description (What does your company do?)
   
 
 
 
* Business Industry 
   
 
 
* Publicly Traded or Privately Owned?
 
Publicly Traded
 
Privately Owned
 
 
 
Number of local employees

This includes all Hampton Roads locations.  Please provide a total head count for each category.
 
 
* Full-time (30 hours or more per week)
   
* Part-time (Less than 30 hours per week)
   
* Seasonal
   
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