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 |
---
|
| Best way to reach me |
---
|
| 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 |
---
|
| Highest Ranking Official Phone Extension |
---
|
Secondary Contact
| Name |
---
|
| Title |
---
|
| Email |
---
|
| Phone |
---
|
Worksite Information
Overview
| Which industry best describes your organization? |
Hospitality
|
| If other, please describe: |
---
|
| How many total employees do you have for all worksites? |
40
|
Worksite #1
| Business Name |
---
|
| DBA Name |
---
|
| Site ID |
---
|
| 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? |
---
|
Add another worksite
| Would you like to add a second worksite? |
No
|
Add another worksite
| Would you like to add a third worksite? |
No
|
Parking Cash Out Program
Applicability
| Do you have 50 or more employees? |
No
|
Worksite Analysis
Which transit lines stop with in 1/4 mile or 3 blocks from your worksite?
| Big Blue Bus |
1, 5, Rapid 10, 16, 43
|
| Metro |
Expo Rail
|
Which of these services and amenities are available at your worksite?
| Check all that apply |
Electric Vehicle Charging, Locker Rooms or Showers, Bike Lockers or Secure Area, Bike Racks, Bikes Permitted Inside Worksite, Bike Repair Kit, Bike Tire Pump
|
Survey Set up
Survey Week
| Survey Start Date |
---
|
| Survey End Date |
---
|
Minimum Survey Response Rate
| How many employees arrive or depart in the Morning Commute Window? |
---
|
| How many employees arrive or depart in the Evening Commute Window? |
---
|
Average Vehicle Ridership Target
| What is your AVR target? |
---
|
Average Vehicle Ridership Results
AVR Attainment
| Are both your AM and PM AVR equal to or greater than your AVR target? |
Yes
|
Outreach/Education Strategies
Outreach/Education Strategies
| Select at least 3 more Outreach/Education Strategies |
Attend a marketing class certified by the City of Santa Monica, Distribute quarterly flyers, announcements, and memos about transportation, Send direct encouragement from the CEO
|
Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
Preferential Parking, Public Transit Introduction, Other Basic Strategy #2
|
Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar
|
| Do you use Metro's Guaranteed Ride Home Program? |
No
|
Preferential Parking
| How many spaces will you reserve for carpools/vanpools? |
1
|
| How many persons per vehicle required to be eligible? |
2
|
| What is the minimum number of trips per week to be eligible? |
3
|
| Can employees carpool with people from other companies? |
No
|
Flexible Hours
| Within how many minutes can employees start/leave from their official shift time? |
20
|
| Can employees start and/or leave at their own discretion? |
No
|
Public Transit Introduction
| Which type of transit pass will you provide your employees? |
Other Stored Value
|
| If applicable, how much stored value will you provide? |
|
Other Basic Strategy #2
| Other Strategy #2 |
Offering free meal and other incentive for employees.
|
Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Parking Charge, Secure Bike Parking, Prize Drawings, Gift Cards, Free Meals
|
Parking Charge
| How much will your employees pay for parking? |
$25.00
|
| Do you reduce/subsidize the parking fee? |
No
|
| If you subsidize parking, how much is the subsidy? |
$0.00
|
| How many employees currently particpate? |
0
|
| Describe your parking charge program. |
|
Secure Bike Parking
| Describe the secured bike parking area. |
Below the bulding gated bike parking
|
Prize Drawings
| How many trips does the employee need to complete to receive this incentive? |
30
|
| Prize #1 Description |
Gift
|
| Prize #1 Value |
$50.00
|
| Prize #1 Quantity |
1
|
| Prize #1 Raffle Frequency |
Quarterly
|
| Prize #2 Description |
|
| Prize #2 Value |
|
| Prize #2 Quantity |
|
| Prize #2 Raffle Frequency |
Quarterly
|
Gift Cards
| How many trips does the employee need to complete to receive this incentive? |
15
|
| Gift Card Vendor(s) |
Tiato
|
| Gift Card Value |
$25.00
|
| Frequency Given |
Quarterly
|
| Describe your gift card program. |
|
Free Meals
| How many trips does the employee need to complete to receive this incentive? |
10
|
| Meal Vendor(s) |
Tiato
|
| Meal Value |
$15.00
|
| Frequency Given |
Quarterly
|
Management Commitment
Management Commitment Letter Upload
Feedback
How did we do?
| Was this website easy to use? |
---
|
| Are the requirements for employers clear? |
---
|
| How can we improve? |
---
|