2019 GREEN YOUR COMMUTE CHALLENGE REGISTRATION Question Title * Agency/School Adirondack Park Agency Albany County City of Albany City of Buffalo City of Kingston City of Plattsburgh City of Rochester City of Saratoga Springs City of Troy City of White Plains Department of Motor Vehicle Erie County - Delaware Avenue Erie County – Franklin Street Erie County – Main Street Erie County – West Eagle Street Gaming Commission Governor's Office of Employee Relations Homes and Community Renewal Nassau County New York Power Authority NYS Education Department NYS Department of Environmental Conservation - Central Office NYS Department of Environmental Conservation - Region 1 NYS Department of Environmental Conservation - Region 2 NYS Department of Environmental Conservation - Region 3 NYS Department of Environmental Conservation - Region 4 NYS Department of Environmental Conservation - Region 5 NYS Department of Environmental Conservation - Region 6 NYS Department of Environmental Conservation - Region 7 NYS Department of Environmental Conservation - Region 8 NYS Department of Environmental Conservation - Region 9 NYS Department of Health NYS Department of Public Service NYS Department of Transportation NYSERDA – Albany NYSERDA – Buffalo NYSERDA – NYC NYSERDA – West Valley Office for the Prevention of Domestic Violence Office of Mental Health Purchase College Schenectady County State Parks (OPRHP) Suffolk County Sullivan County SUNY ESF SUNY Geneseo Town of Mamaroneck University at Albany University at Buffalo Thank you for registering for the 2019 Green Your Commute Challenge! To participate, please fill out the registration form below, which will also sign you up as a member with 511NY Rideshare . You will receive an email from 511NY Rideshare in the next 1-3 days confirming your registration with instructions on activating your account. Visit 511nyr.org/green-your-commute for details on tracking your sustainable commute! Question Title * First Name Question Title * Last Name Question Title * Email Address Question Title * Home Address Question Title * Apt. # (if applicable) Question Title * Home City Question Title * Home State Connecticut Massachusetts New Jersey New York Pennsylvania Vermont Question Title * Home Zip Code Question Title * Phone Number Question Title * Match Preference Match with anyone meeting my commute Match only with those who work for my same employer/school Not Interested in Ridematching Question Title * Carpool Preference Ride or Drive Drive only Ride only Not Interested in Carpooling Question Title * Vanpool Preference Ride or Drive Drive only Ride only I would like to start a Vanpool Not interested in Vanpooling Question Title * Transit Preference Not interested in transit Interested in transit, need an itinerary Interested in transit, do not need an itinerary Already ride transit, do not need an itinerary Question Title * Bicycling Preference Not interested in bicycling Interested in finding a “Bike Buddy” to ride with Question Title * Are you interested in being matched with others when an emergency occurs? Include me in Match-Me-In-Emergencies as a driver Include me in Match-Me-In-Emergencies as a passenger Not interested Question Title * Would you like to receive our Air Quality Action Day notifications from Clean Air NY?" Yes, I would like to learn more No, I do not want to receive updates Next