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Car/School Pool Matching Form Submit
Car/School Pool Matching Form Submit
Carpool/School Pool Match
After completing the form, click the submit button at the bottom to send your information to the Rideshare Coordinator
Date
MM slash DD slash YYYY
Please check as many as apply:
I want to add passengers to my car/school to and from work.
I want to be a passenger in a carpool/school pool.
I want to share the driving in a carpool/schoolpool.
Home and work/school addresses will be confidential. Other information will be used for ridematching purposes only. Be specific in listing your home and work address (is it a Street (St.), Avenue (Ave.), Road (Rd.), etc?) Forms without a phone number cannot be processed.
Name
First
Last
Home Address (Please Include Nearest Cross Street in Address Line 2)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Work/School Address (Please Include Nearest Cross Street in Address Line 2)
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Phone
Email Address
Enter Email
Confirm Email
Are your hours flexible by more than 20 minutes?
Yes
No
Start Work/School
:
AM
PM
AM/PM
Leave Work/School
:
AM
PM
AM/PM
I normally get to work/school by:
Drive alone
Carpool w/family
Carpool w/non-family
Drive and bus
Drive and carpool
TheBus
Express Coach
Motorcycle
Moped
Bicycle
Walk/Jog
Other
Additional Comments:
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Recent Posts
24-hour lane closure on Bougainville Drive near Lawehana Street
Single lane closure for work on Mākaha Bridge No. 3 and 3A, starts Monday, Nov. 27
Emergency stormwater capture system to be installed in Lahaina
Single lane closure on Honoapiilani Highway at Akahele Street for waterline work
Wilson tunnel townbound reopens Saturday night
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Car/School Pool Matching Form Submit