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Welcome to the Go Chapel Hill Birthday Club - Building a Healthier Community Together! Thank you!
Birthday Club 2021
*
1.
Number of days in the next 12 months that I will use these commute modes including telework:
(Required.)
5 days
12 days
Daily
Twice Monthly
1-3 days
Bicycle
5 days
12 days
Daily
Twice Monthly
1-3 days
Carpool
5 days
12 days
Daily
Twice Monthly
1-3 days
Park & Ride with Transit
5 days
12 days
Daily
Twice Monthly
1-3 days
Telework
5 days
12 days
Daily
Twice Monthly
1-3 days
Transit
5 days
12 days
Daily
Twice Monthly
1-3 days
Vanpool
5 days
12 days
Daily
Twice Monthly
1-3 days
Walk
5 days
12 days
Daily
Twice Monthly
1-3 days
*
2.
Number of miles to the building I work in, if not working from home:
(Required.)
3.
How many days did you use alternative transportation (including telework) in the past 12 months:
2-4 days
12 days
Twice Monthly
Most work days
4.
I work from home most of the time.
Yes
No
5.
Name:
*
6.
Name of Department and company, business, or agency where I work:
(Required.)
*
7.
My E-Mail Is:
(Required.)
8.
Optional- Tell Your Story:
Please add my commute story, for promotions, to inspire others to try leaving their car at home (at least sometimes).
9.
Yes please send Happy Birthday Go Chapel Hill item to me! Address follows.
Current Progress,
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