1. Name of Company:
    
2. Plant Manager, General Manager, CEO:
    
3. Number of Employees: (In McMinn County)
    
4. How Many employees are: Full Time? Part Time? Temps?
    
5. What is your firm's hourly entry wage for Production Workers? $
    
6. What is your firm's average overall hourly wage exclusive of fringe benefits? $
    
7. Percentage of fringe benefits package: %
    
8. Number of Shifts:
    
9. Where does the majority of your facility's raw materials originate?
    
10. Where is this facility's market area (Please check all that apply):
    Region:   Tennessee:   Southeast U.S.:   National:   International:
     
11. Please list Customers or Industrial Suppliers you would like to see locate in the area:
    

    Company	Address	Contact

    
     
12. Any Other Comments or Suggestions:
     
13. Person Completing this form:
     
14. Telephone Number: Extension:
     

Please Submit by August 30, 2011.