2014 Bishop Ranch Commute Plan Inquiry

If you are trying to request a Bishop Ranch Bus Pass do not use this form.

Exit and call 830-0101 pass request or renewal assistance.

To help us plan your commute alternative, answer these questions. If you need assistance, contact 830-0101 or brtc@bishopranch.com.

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* 1. Name and daytime contact information:

First name:

Last name:

Day or cell phone:

Email:

Employer:

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* 2. My company is

currently located in Bishop Ranch.

planning to relocate to Bishop Ranch.

When do you plan to relocate?

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* 3. Where do/will you work in Bishop Ranch? Click menu below to select location.

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* 4. Where does your commute begin each day? Please provide:

Two cross streets near your home:

City:

Zip code:

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* 5. How are you getting to work now?

Other (please specify)

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* 6. What type of work schedule do you have?

	Check all that apply:
40 hour work week	40 hour work week Check all that apply: menu
Weekdays only	Weekdays only Check all that apply: menu
Part time	Part time Check all that apply: menu
Saturday	Saturday Check all that apply: menu
Sunday	Sunday Check all that apply: menu
I work a 9/80 schedule (9 days/2 weeks).	I work a 9/80 schedule (9 days/2 weeks). Check all that apply: menu
I work a 4/10 schedule (4 10-hour days/week).	I work a 4/10 schedule (4 10-hour days/week). Check all that apply: menu

Any other schedule or details we need to know? (please specify)

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* 7. What time do you begin and end your usual workday? (All fields must be filled.)

Start Time:

Time

AM/PM

Stop Time:

Time

AM/PM

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* 8. How much can you flex your work hours?

	Minutes Earlier	Minutes Later:
AM Start Time:	AM Start Time: Minutes Earlier menu	AM Start Time: Minutes Later: menu
PM Stop Time:	PM Stop Time: Minutes Earlier menu	PM Stop Time: Minutes Later: menu

Other (please specify)

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* 9. Tell us about your position and work environment:

	Yes	No
My work hours are the same or nearly the same every day.	My work hours are the same or nearly the same every day. Yes	My work hours are the same or nearly the same every day. No
I report to the same work site location every day.	I report to the same work site location every day. Yes	I report to the same work site location every day. No
My position requires me to have a car for company errands.	My position requires me to have a car for company errands. Yes	My position requires me to have a car for company errands. No
My work hours, breaks and lunch period are very structured.	My work hours, breaks and lunch period are very structured. Yes	My work hours, breaks and lunch period are very structured. No
My start/stop work hours are firm.	My start/stop work hours are firm. Yes	My start/stop work hours are firm. No

Any special circumstances, we should know about?

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* 10. Bishop Ranch offers access to a Guranteed Ride Home program providing a pre-registered employee up to 6 taxicab rides home annually for illness or emergencies, if they arrived at work using a commute alternative. First ride will be 100% reimbursed.

Does this program affect your decision to use a commute alternative to get to work?

Yes

Unsure

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* 11. Please tell us if any of the following circumstances apply:

	Yes	No
I have small children in a daycare or preschool program.	I have small children in a daycare or preschool program. Yes	I have small children in a daycare or preschool program. No
I have school age children that I drop off or pick up at school.	I have school age children that I drop off or pick up at school. Yes	I have school age children that I drop off or pick up at school. No
I attend school or have secondary employment one or more days per week. Enter details in next question.	I attend school or have secondary employment one or more days per week. Enter details in next question. Yes	I attend school or have secondary employment one or more days per week. Enter details in next question. No

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* 1. Name and daytime contact information:

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* 2. My company is

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* 3. Where do/will you work in Bishop Ranch? Click menu below to select location.

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* 4. Where does your commute begin each day? Please provide:

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* 5. How are you getting to work now?

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* 6. What type of work schedule do you have?

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* 7. What time do you begin and end your usual workday? (All fields must be filled.)

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* 8. How much can you flex your work hours?

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* 9. Tell us about your position and work environment:

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* 11. Please tell us if any of the following circumstances apply:

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* 12. Is there anything you'd like to ask or tell us about?