|
| |
| |
Site Name |
: |
Atlantic Station |
| * |
Input your email address
(this will become your Login ID)
|
: |
|
| * |
Re-enter your email address to confirm
|
: |
|
| * |
First Name |
: |
|
|
Middle Initial |
: |
|
| * |
Last Name |
: |
|
|
Age |
: |
|
| * |
Home Street Number |
: |
|
| * |
Home Street Name |
: |
|
|
Apartment Or Unit # |
: |
|
| * |
City |
: |
|
| * |
State/Province |
: |
|
| * |
Zip |
: |
|
|
Home Phone
(###-###-####) |
: |
-- |
|
Closest Intersection to your Home |
: |
And
(street name)
(street
name) |
| * |
Your Company Name |
: |
|
| * |
Work Street Number |
: |
|
| * |
Work Street Name |
: |
|
|
Office complex,Bldg#,Suite(If applicable)
|
: |
|
| * |
Work City |
: |
|
| * |
Work State |
: |
|
| * |
Work Zip |
: |
|
| * |
Work Phone
(###-###-####) |
: |
-- Ext. |
| * |
Usual Mode of Transportation |
: |
|
| * |
Length of one-way Commute(in miles) |
: |
miles |
|
Do you work a compressed work week? |
: |
|
| * |
Would you like to receive a list of carpool matches,
vanpool matches, or both? |
: |
|
|
Would you like to receive your ridematching information
at an address other than the home or work addresses supplied above? |
: |
|
|
How would you prefer to be contacted for ridematching
purposes? |
: |
|
|
Work arrival time(am/pm) |
: |
|
|
|
|
Work departure time(am/pm) |
: |
|
|
|
|
Are you flexible in the time you arrive and leave from
work? |
: |
|
|
Do you have a car available for carpooling? |
: |
|
|
In a carpool, you would prefer to be a: |
: |
|
|
In a vanpool, you would prefer to be a: |
: |
|
| |
|
| |
|
| |
Questions Or Comments |
: |
candy@asap-plus.com |
| By submitting this application you agree
that the information submitted will be used by
ASAP+
for the purpose of measuring and rewarding certain commute behaviors. For more
information review our
Information Privacy Policy. Your information may be entered into the
RideSmart rideshare database. Matches are made via computer and based on
proximity of home and worksite addresses and work schedules. If you have agreed
to be matched with potential rideshare partners, they will receive a letter
with your contact information, but without your home phone (unless you prefer
to be called at home) or street number. Your information will not be provided
to a marketing company but may be shared with a vanpool leasing company for the
purposes of vanpool formation. Participation in a carpool, vanpool or
Guaranteed Ride Home (GRH) program is an individual decision. Ridesharers are
completely responsible for the operation of their carpools or participation in
vanpools. RIDESMART AND
ASAP+
SHALL HAVE NO RESPONSIBILITY OR LIABILITY FOR ANY CLAIMS, EXPENSES, OR DAMAGES
RESULTING FROM ANY INDIVIDUAL'S PARTICIPATION IN A CARPOOL, VANPOOL, OR THE GRH
PROGRAM. |
|
