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Sunday, 1 of August of 2010

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Online Application

To apply for desgination as a Best Workplace for Commuters, please complete the following on-line application.  You will receive notification of your status within two weeks.  If you need assistance, please call Julie Bond, project manager at 813.974.9799 or send a message to bond@cutr.usf.edu.  We look forward to working with you.

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Organization Name (as you would like it to appear on the list)
Organization Website
Mailing Address
City
State
Zip Code
Please enter the name of your Primary Contact. The Primary Contact is responsible for the day-to-day management of the organization's commuter benefits program and the Best Workplaces for Commuters designation.
Primary Contact Name
Title
Department
Address
City
State
Zip Code
Phone
Email
Email confirmation
Please list the Program Manager. This is the person who oversees administration of the organization's commuter benefits program.
Is the Primary Contact and Manager Contact the same? If yes, skip to next section.
Program Manager Name
Title
Department
Address
City
State
Zip
Phone
Email
Please list the Media Contact. This is the person who will serve as the organization's Media Contact for Best Workplaces for Commuters.
Is the Media Contact the same as the Primary Contact? If yes, skip to next section.
Is the Media Contact the same as the Manager Contact? If yes, skip to next section.
Media Contact Name
Title
Department
Address
City
State
Zip Code
Phone
Email
Worksite Specific Information: This application should cover worksites that are 1) located in the same Metropolitan Area, 2) offer the same Primary Commuter Benefit, and 3) have the same Primary Contact.
Number of worksites covered by this application:
Number of employees at this worksite (s):
Number of employees at this worksite who are eligible for commuter benefits:
If this application covers multiple worksites, please list the address of each worksite. Include the number of employees at each location.
Does your organization have other worksites in this metropolitan area that are NOT included on this application?
Does your organization have worksites in other metropolitan areas that offer commuter benefits?
Approximately, how many employees does your organization have in the USA?
Your organization is required to offer at least one (1) Primary Benefit to employees. Please check ALL that apply.
PRIMARY BENEFITS:
If you checked the box for Benefit 1 and offer a Transit Benefit of $30 or more (or the full cost of a pass if it is less than $30), please enter the amount offered.
If you checked the box for Benefit 2 and offer a Vanpool Benefit of $30 or more (or the full cost of a pass if it is less than $30), please enter the amount offered.
If you checked the box for Benefit 4, please enter the estimated percentage of employee commute trips eliminated by telework.
If you checked the box for Benefit 5, please enter the estimated percentage of employee commute trips eliminated by compressed work week.
If you checked the box for Benefit 6 and offer at least $30 in lieu of Parking please enter the amount offered.
Primary Benefit 7: We offer an equivalent benefit that provides similar value to our employees, reduces traffic and air pollution and is agreed to by BWC. Please describe your equivalent benefit.
You are required to offer at least three (3) Supporting Benefits to employees (you need to provide only one (1) if you have fewer than 20 employees). Please check ALL that apply.
OPTIONAL: We also claim credit for one or more of the following LEED Alternative Transportation (Sustainable Sites) credits for our worksite as a supporting benefit.
Is your worksite a LEED certified Building?
Describe any other options you propose as a Supporting Benefit:
Your organization must offer an Emergency Ride Home (ERH) program to employees. Please check the box below to confirm you offer an ERH program.
Our ERH is provided by:
By submitting this application your organization must agree to ALL of the following conditions. Please check each of the following conditions.
We would like to help you publicize your designation as one of the Best Workplaces for Commuters. Your organization will be listed on the BWC website and may be promoted using various forms of social media (e.g. Facebook, Twitter). Click on YES or NO to the following questions:
May we list your organization as one of the Best Workplaces for Commuters in media releases?
May we use your logo on our Website or in other publicity?
May we share contact information for your Primary Contact?
May we specify which commuter benefits you offer?
Are you a Fortune 500 Company or owned by a Fortune 500 Company?
How did you hear about Best Workplaces for Commuters?
What is your industry?
Please provide any additional questions or comments. Thank you for your interest in Best Workplaces for Commuters.
Please click the SEND button to submit your information once you have completed the form.

Date: December 13, 2009