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First Community Housing & Envoy are currently working to evaluate how many community members would be interested in using the upcoming shared electric vehicle (EV) program. If you are interested in participating please complete the following information.

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* 1. First Name

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* 2. Last Name 

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* 3. Your Address

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* 4. Email Address

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* 5. Age (please enter in whole numbers)

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* 6. Would you like to participate in the Nystrom Community Electric Vehicle Car Sharing Pilot?

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* 7. What is your gender?

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* 8. Do you have a driver's license?

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* 9. Do you currently have a smart phone (that can download "apps?)"

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* 10. Do you currently own/lease a car?

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* 11. What days do you think would you most need the vehicle? (Mark all that apply)

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* 12. What time of day do you think would you most need the vehicle? (mark all that apply)

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* 13. Participants may be eligible for reduced pricing. Would you like to be considered for enrollment in the price reduction program?

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* 14. Would the Mobility Hubs EV car sharing program be your first time driving an electric vehicle?

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* 15. What is your level of interest in EV car sharing?

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* 16. How familiar are you with EV car sharing?

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* 17. How many people live in your household?

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* 18. Where will you go using EV car sharing?

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* 19. Anything else we should know about to help design the community's EV car sharing? (Please send us your comments!)

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