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1. What type(s) of alternative transportation do you use, or plan to use this April, to commute to/from Middlesex Community College?

2. How many days during the month of April do you plan to use alternative transportation to Middlesex?

3. How many miles is your commute each way? ____

4. If mileage is unknown, what city/town to you commute from?

5. I am

6. What campus do you usually commute to?

7. Please enter your name and phone number in order to be entered into our Prize Drawing

8. Please enter your Carpool participants' names and phone numbers to enter them into our Prize Drawing.