Thank you for carpooling to work! Please designate ONE member of your carpool to complete the application below to receive your carpool parking permit. Please allow two business days for information verification and pass distribution.

In order to receive a carpool parking pass, you must meet the following eligibility requirements:
- Be An HHS employee
- Carpool with at least 1 other HHS employee

PERSONAL INFORMATION: You consent to Smart Commute's collection, use and disclosure of your personal information. Please note that this information will not be disclosed to the general membership and will be collected only to monitor the carpool parking pass program.

Please note: your information will be verified and all carpool parking permits are subject to annual renewals.

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* 1. Email Address

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* 2. I confirm that all my carpool partners and I are registered on the Smart Commute Hamilton Carpool Network at https://explore.smartcommute.ca/s/scham

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* 3. I confirm that all my carpool partners and I are registered on the HHS Carpool Network at https://explore.smartcommute.ca/s/hhs

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* 4. Your First Name

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* 5. Your Last Name

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* 6. Home Postal Code

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* 7. On average, how many times do you carpool per week?

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* 8. Which site does your carpool group work at?

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* 9. How many KM is a one-way trip to work?

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* 10. I am the

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* 11. Carpool Rider #1 Email Address

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* 12. Carpool Rider #2 Email Address

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* 13. Carpool Rider #3 Email Address

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* 14. Carpool Rider #4 Email Address

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* 15. Carpool Rider #5 Email Address

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* 16. Which best describes this application?

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