Please complete the following short survey to help UCSF Transportation Services form new vanpools to service the Emeryville location. In order for us to properly match you with other potential vanpool participants, several questions will require an answer.

Formation of a new UCSF vanpool requires a minimum of 6 participants, with similar commute needs (locations, schedules, etc.); 2 of the 6 participants must be volunteer drivers.

Participants with similar commute patterns will be contacted to form new vanpools, when the above criteria is identified.

Note: UCSF vanpool drivers are required to complete an online driver application, which includes a Motor Vehicle Record check.

* 1. Your Name

* 2. Enter your 9-digit UCSF employee ID number (starts with "02"). If you are not a UCSF employee, skip to next question.

* 3. If you are not a UCSF employee, enter your UCSF affiliation or your employer's name (e.g. "UCSF Student, Gladstone, etc.).

* 4. Your email address.

* 5. Do you currently participate on a UCSF vanpool?

* 6. Are you willing to drive? Select all that apply:

* 7. Please select all the days you wish to commute by vanpool.  Priority vanpool access granted to full-time (Monday through Friday) participants.

* 10. Select your preferred work arrival times below? Please include a range that includes earliest/latest times that accommodate your schedule.

* 11. Select your preferred van departure times below? Please include a range that includes earliest/latest times that accommodate your schedule.

* 12. Please indicate any additional information that you feel may help in matching you to an appropriate vanpool

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