GREAT NEWS... IT'S FREE! There's no charge for services offered by Space Coast Commuter Assistance. Areas of support include: Fixed Route Bus information, overseeing one of the largest public/private Vanpool Leasing Programs in the State of Florida, Car/ Vanpool Matching, Employer Parking Incentive Programs, Park-N-Ride opportunities, Bicycle and Pedestrian Commuting, Telecommuting options and Alternative Work Scheduling. No worries about traffic! Saving money, vehicle reliability and getting to work on time are just some of the benefits you can experience. In Central/South Brevard call 952-4563, or Call Toll Free: 1-866-610-RIDE, E-Mail Us! So that we can assist you promptly, please fill out the questionnaire below. Items with an * are a required field. |
| * First Name: |
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| * Middle Initial: |
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| * Last Name: |
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| * E-Mail: |
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| * Home Address: |
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| * City : |
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| * Zip Code: |
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| * Route to Work: |
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| * Employer: |
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| * Employer's Address: |
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| * Employer's City: |
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| * Employer's Zip Code: |
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| * Work Start Time: |
AM PM |
| * Work Stop Time: |
AM PM |
| * Lunch Time: |
to |
| * My work hours can be changed by 30-60 minutes: |
Yes No |
| * Home Phone Number: |
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| * Work Phone Number: |
ext
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| * The best place/time to reach me is: |
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| I'm interested in finding out more about: |
Vanpool Matching Services
Carpool Matching Services
Fixed Route Bus Service
Employer Parking Incentive Programs
Park-N-Ride Locations
Telecommuting
Vanpool Leasing Programs
Alternative Work Scheduling
Bicycle Commuting
Pedestrian Commuting
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| * I normally get to work by: |
Driving Car Alone
Driving Car/Van with Passengers
Taking Turns Driving in Car/Vanpool
Being Dropped Off at Work
Riding Bus
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I'm interested in being matched in a vanpool as a: |
Vanpool Coordinator/Driver
Back-up Driver
Rider
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| I'm interested in being matched in a carpool as a: |
Carpool Coordinator/Driver
Back-up Driver
Rider
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| I'm interested in leasing a van through VPSI as a: |
* Vanpool Coordinator/Driver
* Back-up Driver
* Vanpool drivers in the Space Coast Area Transit Vanpool Program must be 25 years of age, maintain a valid drivers license and have a clean driving record. |
| I'm interested in riding a bus on a regular basis to work: |
Yes
No |
| I would like to use a bus to go to lunch: |
Yes
No |
| Please share any other comments, thoughts or questions on how we can assist in meeting your transportation needs: |
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| I learned about Space Coast Commuter Assistance through: |
Saw Phone Number on Commuter Van
Radio
Transit Advertising
Newspaper
Website
TV
Other
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Under Florida law, e-mail addresses are public records.
If you do not want your e-mail address
