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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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? |
Law
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| How many total employees do you have for all worksites? |
38
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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 |
2, Rapid 3
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| Metro |
4, 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 Racks, Bikes Permitted Inside Worksite
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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 |
Post transportation information on your website, Distribute quarterly flyers, announcements, and memos about transportation, Send direct encouragement from the CEO
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Basic Support Strategies
Basic Support Strategies
| Select 4 more Basic Support Strategies. |
Preferential Parking, Flexible Hours, Commute Assistance, Public Transit Introduction
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Guaranteed Ride Home (Mandatory)
| How will you provide the Guaranteed Ride Home? |
Uber, Lyft, or Similar, Taxi, Supervisor/Co-Worker
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| Do you use Metro's Guaranteed Ride Home Program? |
No
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Preferential Parking
| 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? |
2
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| Can employees carpool with people from other companies? |
Yes
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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? |
No
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Commute Assistance
| Employer will (check all that apply) |
Assist in identifying park & ride lots, Identify bicycle and pedestrian routes, Provide transit routes, first/last mile connections, and schedule information
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Public Transit Introduction
| Which type of transit pass will you provide your employees? |
7-Day
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| If applicable, how much stored value will you provide? |
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Direct Strategies
Direct Strategies
| Select 5 Direct Strategies. |
Telecommuting, Compressed Work Week, Prize Drawings, Bicycle Program, Gift Cards
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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? |
24
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| How many employees currently participate? |
10
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| How many employees do you project will participate? |
15
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| Describe your telecommute program. |
attorneys can work from home.
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Compressed Work Week
| Which types of schedules can employees choose from? |
4/40
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| How many employees are eligible to participate? |
24
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| How many employees currently participate? |
3
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| How many employees do you project will participate? |
3
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| Describe your compressed work week program. |
four attorneys currently work four days in the office, with Fridays off (when work perm
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Prize Drawings
| How many trips does the employee need to complete to receive this incentive? |
3
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| Prize #1 Description |
gift card
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| Prize #1 Value |
$100.00
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| Prize #1 Quantity |
3
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| Prize #1 Raffle Frequency |
Quarterly
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| Prize #2 Description |
gift certificate
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| Prize #2 Value |
$100.00
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| Prize #2 Quantity |
4
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| Prize #2 Raffle Frequency |
Quarterly
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| Describe your prize drawing program. |
we enter employees names into a drawing, if they meet the requirements. Then the winners are announced by email to get more interest and enthusiasm for the program
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Bicycle Program
| How many trips does the employee need to complete to receive this incentive? |
2
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| What kinds of incentives will you offer the bicyclists? |
Gift Certificate
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| What is the average value of your incentives? |
$100.00
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| Describe your bicycle program. |
we currently don't have anyone using the program - several are using local scoooter
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Gift Cards
| How many trips does the employee need to complete to receive this incentive? |
2
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| Gift Card Vendor(s) |
amex, amazon, f
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| Gift Card Value |
$100.00
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| Frequency Given |
Quarterly
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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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