Year-End 2021 – Data Gathering Form

As part of your CICPAC membership, you are required to complete the following data gathering / annual member survey. As you may recall, we send out this form annually to gather information on our CICPAC member firms for a few reasons:

To ensure our members are meeting the annual revenue requirements,
To validate that our member firms are dedicated to serving the construction industry, and
To gather valuable information in order to help us market CICPAC.

We understand gathering the information can be time consuming, but we’ve heard from members that it gets easier each time we do it! So, please take time to review your prior survey data and update it accordingly.

Your immediate attention is appreciated. The survey must be completed by September 23, 2022.

Complete the survey with YOUR CICPAC MEMBER OFFICE data only.

1. Company Name (Enter as you'd like it to display on CICPAC directory)*
2. If your firm occupies multiple territories, type the location that accompanies this data. (optional)
3. Person completing the form*
First Name Last Name
4. Email Confirmation (optional)
5. Enter your firm's most recent fiscal year-end (format: 12/31/2021)*
MM slash DD slash YYYY
6. Total number of professionals within your CICPAC Member Office(s) ONLY*
7. Total number of CONSTRUCTION professionals in your CICPAC Member Office(s) ONLY*
8. Total number of CCIFPs in your CICPAC Member Office(s)*
9. Number of GENERAL BUILDING CONTRACTOR CLIENTS in your CICPAC Member Office(s) ONLY*
10. Number of HEAVY HIGHWAY CONTRACTOR CLIENTS in your CICPAC Member Office(s) ONLY*
11. Number of SUBCONTRACTOR CLIENTS in your CICPAC Member Office(s) ONLY*
12. Number of HOMEBUILDER CLIENTS in your CICPAC Member Office(s) ONLY*
13. Number of PROFESSIONAL SERVICE CLIENTS in your CICPAC Member Office(s) ONLY*
14. Number of CONSTRUCTION RELATED SUPPLIER CLIENTS in your CICPAC Member Office(s) ONLY*
15. Gross billings (ALL CLIENTS) of your CICPAC Member Office(s) ONLY*
16. Gross billings (CONSTRUCTION CLIENTS) of your CICPAC Member Office(s) ONLY*
17. Marketing Professional(s) Contact Information
18. Are you a member of a national / international alliance (ex: Moore Stevens, BDO, Leading Edge, etc.)? If yes, list in box below.*
- Yes
- No
- No, but considering joining
If yes, enter the Alliance name
19. Provide a copy of your most recent peer review report*
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Member Annual Reporting Survey

Year-End 2021 – Data Gathering Form

CPA-Construction relationships is what we are about.