WorkStrategy, Inc. Request Form

Please provide required (*) and optional info if available.
Application
Name *

First
Last
Company / Organization *
No. of Employees (est)
Title *
Phone Number *
Email *
Your Address (optional)

Street Address

Address Line 2

City
State / Province / Region

Postal / Zip Code
Country
Current PS Version *
 8.8 
 8.9 
 9.0 
 9.1 
 Other 
Anticipated Timing for Project to Start *
 Now 
 Q3 2012 
 Q1 2012 
 Q4 2012 
 Q2 2012 
 Other 
Plans to be Managed in eComp *
 Base Salary Merit 
 Base Salary Adjustments 
 Annual Bonus 
 Equity Stock 
Plans to be Managed in eRewards+
 Health Plans 
 Leave Plans 
 FICA/SUTA/FUTA 
 401k Match 
 Pension 
 Cash and Bonus 
 Other 
How do you currently administer your comp plans? *
 PS Salary Planning 
 PS Variable Comp 
 PS eComp MD 
 Spreadsheets 
 3rd Party Vendor 
 Custom App 
What are you currently using for Performance Management?
 PS ePerformance 
 Manual Forms 
 Other 
 SaaS Tool 
Additional Comments (optional)