GBRIA Membership Interest Form This form is for manufacturing/owner sites. Looking to connect as a contractor, vendor, or supplier? Please complete this form. OK Benefits of Membership Being part of a common voice for industry to the government, community, and business affiliates Professional networking with industry peers Influencing national standards in safety, craft skills training, and professional education through the Association of Reciprocal Safety Councils (ARSC), the Construction Users Roundtable (CURT), the Associated Builders and Contractors (ABC), Louisiana State University (LSU), and the Board of Regents Louisiana Experimental Program to Stimulate Competitive Research (LaEPSCoR). Representation in steering the Associated Builders and Contractors (ABC) Craft Training Center, ITI Technical College, and the Alliance Safety Council. We are also industry’s liaison to area 2 and 4-year universities and the K-12 system. Participation in driving the organization’s strategic objectives. OK Question Title * 1. Contact Information Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number OK Question Title * 2. What is your job title? OK Question Title * 3. How did you hear about GBRIA? Magazine or Newpaper Social Media Word of Mouth Attended GBRIA Event TV Other (please specify) OK Question Title * 4. Do you supply services or goods to industry but are NOT a manufacturer? Yes No Other (please specify) OK Question Title * 5. If you are an established manufacturing site: Average employee headcount as full-time equivalents (FTE's) for past 2 years. Average CONTRACTOR headcount as full-time equivalents (FTE's) for past 2 years. OK Question Title * 6. If you are a new site undergoing construction: Please list planned construction start date Please list how many FTE company employees, on average, will be working in the local region on your site during construction Please list how many FTE CONTRACT employees, at peak construction, will be working in the local region on your site during construction Please list planned plant start-up date OK Question Title * 7. Any Questions? Please list them here. OK DONE