Employer Profile
Welcome!
| Company Name |
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| DBA Name |
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| Site ID |
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| Site Address (Street, City, State, and Zip) |
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Contact Person (all correspondence will go to the person shown here)
| Contact Person's Name |
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| Contact Person's Title |
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| Contact Person's Email |
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| Contact Person's Phone |
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| Contact Person's Mailing Address (Street, City, State, and Zip) |
818 15th Street Unit 5, Santa Monica, CA 90403
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Highest Ranking Official
| Highest Ranking Official's Name |
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| Highest Ranking Official's Title |
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| Highest Ranking Official's Email |
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| Highest Ranking Official's Phone |
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On-Site Contact
| On-Site Contact's Name |
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| On-Site Contact's Title |
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| On-Site Contact's Email |
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| On-Site Contact's Phone |
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Worksite Analysis
Employee Population
| How many employees do you have? |
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| How many employees live in Santa Monica? |
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Employee Commute Mode
| How many employees ride public transit to the worksite? |
2
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| How many employees bike to the worksite? |
2
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| How many employees walk to the worksite? |
1
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| How many employees skate or skateboard to the worksite? |
1
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| How many employees drive alone to the worksite? |
6
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| How many employees carpool to the worksite? |
2
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| How many employees vanpool to the worksite? |
0
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Worksite Services
| Which of these services and amenities are available at your worksite? |
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Industry Classification
| Which industry best describes your organization? |
Health
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Parking
| Do your employees park for free? |
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Mandatory On-Site Information Requirements
Employers must provide information about all transportation options to employees.
| How will you distribute this information (i.e. maps, posters, flyers) |
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Employers must provide all new employees with transportation information.
| How will you educate new employees about their commute options? |
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Management Commitment Letter
Management Commitment Letter Upload
Feedback
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| Did you find this website easy to use? |
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| Are the requirements for employers clear? |
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