* 1. During what time frame do you wish to arrive at your worksite in the morning?

* 2. During what time frame do you wish to depart from your worksite in the afternoon?

* 3. How many days per week (on average) are you interested in riding in a vanpool?

* 4. Would you be willing to share the driving?

* 5. Do you have a preferred pick-up spot near your home (i.e. park and ride lot, mall, supermarket, hotel) or other location that would be a reasonable meeting spot for the van? Please list any ideas you have in the space below.

* 6. The information below will be used to match you with other employees interested in vanpooling.

* 7. I would like to learn more about my options for:

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