Worksite Name:
ETC Name:
Phone:
1. Describe the amount of involvement and/or support for CTR by supervisors and managers at your worksite. (i.e., use of commute alternatives, provide resources for CTR, encourage employee involvement, etc.)
2. What do you feel has been successful about your CTR program in the past year? Why?
3. Describe the challenges to the CTR Program at your worksite.
4. Do you, as ETC, walk your talk? What mode? How often?
5. What campaigns and/or special events did your worksite promote in the past year? i.e., regional campaigns, worksite events, employee contests, prize drawings, etc.)
6. What is the best part of your CTR program?
7. As ETC, what is your most memorable moment over the past year?
Additional comments?

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Online Nomination Forms
Commute Smart Champion Nomination Forms

Champion Commuter
ETCs can nominate up to three Champion Commuters each quarter, each one being a different mode and you select the modes. i.e. you can select a carpooler, bus rider and teleworker or vanpooler, bicyclist and bus rider, you can't duplicate any mode in one quarter.

Click here for Champion Commuter Nomination Form (Please use same form for up to 3 nominations)

 

Quarterly Accomplishments

ETCs tell us what you have been doing over the last 3 months to promote and encourage participation in your CTR program. Information will be used to help select the Champion ETC. 

Click here for Quarterly Accomplishments Form

 

Tools for Nominating