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VANPOOL Commuter Preference Survey
If you are interested in learning how you can save money on your commute by vanpooling, please complete this brief survey so that we may match you with other employees with a similar schedule.
During what time frame do you want to arrive at your work-site in the morning?
*
:
HH
MM
AM
PM
(earliest arrival time)
*
:
HH
MM
AM
PM
(latest arrival time)
During what time frame do you want to depart your work-site in the afternoon?
*
:
HH
MM
AM
PM
(earliest departure time)
*
:
HH
MM
AM
PM
(latest departure time)
How many days per week (on average) are you interested in riding in the vanpool? (check all that apply):
1
2
3
4
5
Would you be willing to share the driving?
*
YES
NO
Do you have a preferred pick-up spot near your homw (i.e. park and ride lot, mall, supermarket, or other location that would be a reasonable meeting spot for the van? Please list any ideas you have below.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
Zip Code
Email
Phone
NOTE: The above information will be used only for ridematching and will not be shared or used for any other purpose.
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