By submitting this application you agree that you have read the information below.

1. You have been asked to provide certain information on this form for the purpose of providing yourself and like applicants with rideshare matching services.

2. You understand that participation in the HART Commuter Services program is strictly voluntary, and you are not required by law to furnish any of the information requested on the form.

3. You understand that the following information requested on this form is considered as private data: (a) your residential address and residential telephone number; (b) your beginning and ending hours; (c) your current mode of commuting to and from work; and (d) the type of rideshare service information you have requested. All other information you provide is considered public data and is accessible by any person for any reason, including your name and workplace.

4. You understand that any of the information you provide, whether considered as private or public, will be provided to others in the ridematching database in order to supply you with the requested rideshare matching services. Match lists containing your name, town of residence, employer, telephone number(s) and email address(es) of your choice, working hours and rideshare preference may be sent.

5. If at any point, you wish your information inactivated or deleted from the commuter database, it is your responsibility to contact HART Commuter Information Services to make that request. You agree to provide HART 5 business days from the time of your request to delete or make inactive your information.

 I have reviewed and accepted the information above. * (required)