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Windsor Essex County Health Unit

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Bike Friendly Workplace Awards Nomination Form

Thank you! Now accepting nominations for the 2008 Bike Friendly Workplace Awards.

Your E-Mail Address (Required)

Your Name (Required)

Company Name (Required)

Address (Required)

Phone (Required)

Fax (Required)

How many employees work for your company? (Required)

Please select the most appropriate responses. Are your employees:

Full-Time
Part-Time
Union
Non-Union

What percentage of employees in your workplace commute to work by bike? (Required)

Does your workplace promote bike commuting (e.g., posters, bulletin board displays, e-mails)? Please list examples. (Required)

Does your workplace provide any cycling education opportunities (e.g., brochures, guest speakers)? Please list examples. (Required)

Does your workplace provide any facilities for cyclists (e.g., bicycle racks, showers, lockers)? Please list examples. (Required)

Does your workplace provide any incentives for cyclists (e.g. flex time or prizes)? Please list examples. (Required)

Does your workplace provide a wellness program? If yes, describe your program. (Required)

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