Points Of Contact
Mailing Address (All correspondence will go to this address)
| Name of Recipient |
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| Mailing Address (Street, Suite, City, State, Zip) |
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Employee Transportation Coordinator (ETC)
| ETC Name |
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| ETC Title |
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| ETC Email |
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| ETC Phone |
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| Best way to reach me |
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| Please upload a scanned copy of your ETC certification |
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| Who provided the ETC certification? |
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| Date of ETC Certification |
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Highest Ranking Official
| Highest Ranking Official Name |
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| Highest Ranking Official Title |
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| Highest Ranking Official Email |
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| Highest Ranking Official Phone |
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Worksite Information
Overview
| Which industry best describes your organization? |
Other
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| If other, please describe: |
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| How many total employees do you have for all worksites? |
35
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Worksite #1
| Business Name |
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| Site ID |
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| Address (Street, Suite, City, Zip) |
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| How many employees work at this location? |
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| How many of the employees working at this location live in Santa Monica? |
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Parking Cash Out Program
Applicability
| Do you have 50 or more employees? |
No
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Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
| Big Blue Bus |
1, 2, 5, 7, Rapid 7, 8, Rapid 10, 18
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| Metro |
704 Rapid, 20, 720 Rapid
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Which of these services and amenities are available at your worksite?
| Check all that apply |
Uber or Lyft Corporate Account, Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite, Bike Tire Pump
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Survey Set up
Survey Week
| Survey Start Date |
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| Survey End Date |
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Minimum Survey Response Rate
| How many employees arrive or depart in the Morning Commute Window? |
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| How many employees arrive or depart in the Evening Commute Window? |
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Average Vehicle Ridership Target
| What is your AVR target? |
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Average Vehicle Ridership Results
AVR Attainment
| Are both your AM and PM AVR equal to or greater than your AVR target? |
No
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Reduce Vehicle Emissions
| How will you reduce your vehicle emissions this year? |
Increase the number of people walking, biking, riding transit and carpooling to work
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Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
Distribute quarterly flyers, announcements, and memos about transportation, Recognize employees who commute without their car in company-wide communication., Send direct encouragement from the CEO
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Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
Rideshare Matching Support, Flexible Hours, Transportation Information Center, On-site Mobility Fleet
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Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar, Supervisor/Co-Worker
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| Do you use Metro's Guaranteed Ride Home Program? |
No
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Rideshare Matching Support
| How will you provide the ride matching service? |
Employer-based system
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| When do you match employees? |
On Demand/As Needed
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Flexible Hours
| Within how many minutes can employees start/leave from their official shift time? |
60
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| Can employees start and/or leave at their own discretion? |
Sometimes
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Transportation Information Center
On-Site Mobility Fleet
| Which of the following are available for employees to use at your worksite? |
Scooters
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| Which of the following reasons may employees use the Mobility Fleet? |
Personal and Business Related Trips
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Telecommuting, Secure Bike Parking, Prize Drawings, Free Meals, Point Program
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Telecommuting
| How many days per week can employees telecommute? |
3
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| How many employees are eligible to participate? |
15
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| How many employees currently participate? |
5
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| How many employees do you project will participate? |
12
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Secure Bike Parking
| Describe the secured bike parking area. |
Located in the main hallway of the office is a place where bikes can be hung against the wall during the work day.
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Prize Drawings
| How many trips does the employee need to complete to receive this incentive? |
150
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| Prize #1 Description |
Spa
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| Prize #1 Value |
$250.00
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| Prize #1 Quantity |
3
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| Prize #1 Raffle Frequency |
Annual
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| Prize #2 Description |
VISA Gift Card
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| Prize #2 Value |
$200.00
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| Prize #2 Quantity |
3
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| Prize #2 Raffle Frequency |
Annual
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Free Meals
| How many trips does the employee need to complete to receive this incentive? |
7
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| Meal Vendor(s) |
Employees choice
|
| Meal Value |
$20.00
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| Frequency Given |
Monthly
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Point Program
| Reward #1 Description |
Amazon Gift Card
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| Reward #1 Value |
$50.00
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| Points needed to redeem Reward #1 |
30
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| Reward #2 Description |
Starbucks Gift Card
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| Reward #2 Value |
$20.00
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| Points needed to redeem Reward #2 |
10
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Management Commitment
Management Commitment Letter Upload
Feedback
How did we do?
| Was this website easy to use? |
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| Are the requirements for employers clear? |
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| How can we improve? |
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