ETC Information
Name:
Email:
Company:
Date Submitted:     Current Quarter: First Quarter Second Quarter Third Quarter Fourth Quarter

Commute Smart Champion Information
Name:
Title:
Email:

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
How many one-way miles do they commute to work?
How long have they been using a commute option?
Average days per month they use a commute option:
Information available on employee's commute calendar!
How long have they been filling out their commute calendar?
Total trips saved since they started filling out their calendar?
Total miles saved since they started filling out their calendar?
1. What makes your nominee outstanding/special?
2. What is their "Why", why do they use a commute option?
3. How do they display extra effort in overcoming obstacles to use a commute option?
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)
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