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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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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Secondary Contact
Name |
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Title |
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Email |
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Phone |
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Worksite Information
Overview
Which industry best describes your organization? |
Finance
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How many total employees do you have working in Santa Monica for all locations? |
65
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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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Worksite #2
Worksite #3
Site ID |
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How many employees work at this location? |
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Parking Cash Out Program
You may be exempt if:
Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
Big Blue Bus |
Rapid 7, 8, 14
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Metro |
20, 720 Rapid, 33
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Which of these services and amenities are available at your worksite?
Check all that apply |
Bike Racks
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Average Vehicle Ridership
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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Outreach/Education Strategies
Outreach/Education Strategies
Select at least 3 more Outreach/Education Strategies |
Post transportation information on your website, Distribute quarterly flyers, announcements, and memos about transportation, Recognize employees who commute without their car in company-wide communication.
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Basic Support Strategies
Basic Strategy 1: Guaranteed Ride Home (Mandatory)
How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar
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Basic Strategy 2: Commuter Choice Program
Will you use this strategy? |
No
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Basic Strategy 3: Rideshare Matching Service
Will you use this strategy? |
Yes
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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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Basic Strategy 4: Preferential Parking
Will you use this strategy? |
Yes
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How many spaces will you reserve for carpools/vanpools? |
2
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How many persons per vehicle required to be eligible? |
2
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What is the minimum number of trips per week to be eligible? |
3
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Can employees carpool with people from other companies? |
Yes
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Basic Strategy 5: Flexible Hours
Will you use this strategy? |
No
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Basic Strategy 6: Commute Assistance
Will you use this strategy? |
Yes
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Employer will (check all that apply) |
Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information
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Basic Strategy 7: Transit Information Center
Will you use this strategy? |
No
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Basic Strategy 8: Public Transit Introduction
Will you use this strategy? |
Yes
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Which type of transit pass will you provide your employees? |
1-Day
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If applicable, how much stored value will you provide? |
$7.00
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Direct Strategies
Direct Strategy 1: Parking Charge
Will you use this strategy? |
No
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Direct Strategy 2: Compressed Work Week
Will you use this strategy? |
No
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Direct Strategy 3: Telecommuting
Will you use this strategy? |
Yes
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How many days per week can employees telecommute? |
2
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How many employees are eligible to participate? |
50
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How many employees currently participate? |
25
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How many employees do you project will participate? |
30
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Direct Strategy 4: Bike Share Subscription
Will you use this strategy? |
No
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Direct Strategy 5: Transportation Allowance
Will you use this strategy? |
No
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Direct Strategy 6: Time Off With Pay
Will you use this strategy? |
No
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Direct Strategy 7: Secure Bike Parking
Will you use this strategy? |
Yes
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Please describe the secured bike parking area |
Inside our suite
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Direct Strategy 8: Prize Drawings
Will you use this strategy? |
Yes
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How many trips does the employee need to complete to receive this incentive? |
3
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Prize #1 Description |
Reserved Parking
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Prize #1 Value |
$780.00
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Prize #1 Raffle Frequency |
Quarterly
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Prize #2 Description |
Reserved Parking
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Prize #2 Value |
$780.00
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Prize #2 Raffle Frequency |
Quarterly
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Direct Strategy 9: Bicycle Program
Will you use this strategy? |
No
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Direct Strategy 10: Gift Cards
Will you use this strategy? |
Yes
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How many trips does the employee need to complete to receive this incentive? |
3
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Gift Card Vendor(s) |
Amazon
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Gift Card Value |
$120.00
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Frequency Given |
Semi-Annual
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Direct Strategy 11: Free Meals
Will you use this strategy? |
Yes
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How many trips does the employee need to complete to receive this incentive? |
3
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Meal Vendor(s) |
Varies
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Meal Value |
$15.00
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Frequency Given |
Monthly
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Direct Strategy 12: Vanpool Program
Will you use this strategy? |
No
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Direct Strategy 13: Direct Cash Subsidy
Will you use this strategy? |
No
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Direct Strategy 14: Point Program
Will you use this strategy? |
No
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Prize #1 Description |
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Prize #1 Value |
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Points needed to redeem Prize #1 |
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Prize #2 Description |
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Direct Strategy 15: Auto Services
Will you use this strategy? |
No
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Direct Strategy 16: Company Carpool Vehicles
Will you use this strategy? |
No
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Other Direct Strategies
Do you want to create your own strategy? |
No
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Do you want to create a second strategy? |
No
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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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