Vanpool (carpool) Interest Form Question Title * 1. Name: Question Title * 2. Email: Question Title * 3. Starting Location (home address, nearest Park'n'Ride, Etc). Please include the starting City. Question Title * 4. Ending Destination (Workplace, downtown area, Park'n'Ride, Etc). Question Title * 5. Please tell us your employer and department: Question Title * 6. What time would you like to arrive at your destination? (arrive at work) 6:00am 6:30am 7:00am 7:30am 8:00am 8:30am 9:00am 9:30am 10:00am Other (please specify) Question Title * 7. What time would you like to leave your destination (leave work to go home) 3:00pm 3:30pm 4:00pm 4:30pm 5:00pm 5:30pm 6:00pm 6:30pm Other (please specify) Question Title * 8. Which days of the week would you be interested in vanpooling? Monday Tuesday Wednesday Thursday Friday Saturday Sunday Question Title * 9. Are you willing to be a driver? (some vanpools have multiple drivers) Yes No Question Title * 10. Are you willing to be the Vanpool Captain? (captains are typically the person who fills out the short application and provides monthly rider logs to Rideshare via email- they ) Yes No Maybe, I need more information first Done
