Points Of Contact
Mailing Address (All correspondence will go to this address)
| Name of Recipient |
---
|
| Mailing Address (Street, Suite, City, State, Zip) |
---
|
Employee Transportation Coordinator (ETC)
| ETC Name |
---
|
| ETC Title |
---
|
| ETC Email |
---
|
| ETC Phone |
---
|
| Please upload a scanned copy of your ETC certification |
---
|
| Who provided the ETC certification? |
---
|
| Date of ETC Certification |
---
|
Highest Ranking Official
| Highest Ranking Official Name |
---
|
| Highest Ranking Official Title |
---
|
| Highest Ranking Official Email |
---
|
| Highest Ranking Official Phone |
---
|
Worksite Information
Overview
| Which industry best describes your organization? |
Non-Profit/Advocacy
|
Worksite #1
| Site Name |
---
|
| Address (Street, Suite, City, Zip) |
---
|
| How many employees work at this location? |
---
|
| How many of the employees working at this location live in Santa Monica? |
---
|
Management Commitment
Management Commitment Letter Upload
Average Vehicle Ridership
Survey Week
| Survey Start Date |
---
|
| Survey End Date |
---
|
Minimum Survey Response Rate
| How many employees arrive in the Morning Commute Window? |
---
|
| How many employees arrive in the Evening Commute Window? |
---
|
Average Vehicle Ridership Target
| What is your AVR target? |
---
|
.png "Organization Logo"){kind=logo}