ETC Information
Name:
Email:
Company:
Date Submitted:
Current Quarter:
First Quarter
Second Quarter
Third Quarter
Fourth Quarter
Commute Smart Champion nformation
Name:
Title:
Email:
Comments:
Tell us what makes your employee a Commute Smart Champion!
Commute Mode(s) Used:
Walk
Carpool
Ride the Bus
Vanpool
Bicycle
Telework
Compressed Work Schedule
Do they fill out their commute calendar?
Yes
No
Average days per month nominee uses a commute alternative:
How long has nominee been using a commute alternative to work?
How many one-way miles does the employee commute to work?
1. Why does the employee participate?
2. How does the employee display extra effort in overcoming obstacles to use commute alternatives?
3. How does the employee demonstrate enthusiasm for commute alternatives?
Note: In the event your Champion Commuter is chosen, please make sure they have read and signed our photo release form.
(Click here to view)