It's easy to start commuting with others, even if it's just one day a week! Just complete the form below.

If you have already submitted an application and would like to make changes, please click here to log in.

Submission of this application qualifies you for two free services:

  1. Placement in the LITM RideMatch Database - The information you provide below will be entered into a database and sent to other individuals, like yourself, looking to form a carpool or vanpool in your area. LITM is a non-profit organization and does not use any information for external marketing purposes.

  2. A classified listing in our free publication GO.

Would you like a free listing in GO?

 Yes  No

Your home address will not appear in GO.

  

May we publish your work number?

 Yes  No

May we publish your home number?

  Yes No

 

You Must Complete All Fields With An Asterisk ( * )

E-mail Address:

 *

Password:

*  

First Name:

 *  

MI:

*

Last Name:

 *

Street Address:

 *

City:

*  

State:

 *  

Zip Code:

*

County:

Nearest Major Intersection:

 &  *

Home Phone (with Area Code):

no spaces/dashes*

Can we print your home phone number?

Yes No

Fax (with Area Code):

Mailing address if different from above:

  

Street Address:

City:

State:

Zip Code:

Employer:

 *  

Work Address:

 *  

City:

*

State:

*

Zip Code:

*

County:

Nearest Major Intersection:

 &  *

Work Phone (with Area Code):

x no spaces/dashes*

Can we print your work phone number?

Yes No

Work Start Time:

AM  PM   *

Work End Time:

AM  PM *

Can you adjust your arrival/departure time?

Yes No    Time in Minutes

Current Travel Mode:

Pool Interest:

Smoker/Non Smoker:

Carpooler Preference:

Language:

Automobile Available?

YES   NO

How did you hear about us?

 *

If NOT GIVEN, Please Specify!

Notes: (Special requirements of carpool partner, etc.)

We are often contacted by the media. Would you like to share your carpooling experience or provide LITM with a testimonial?

 YES     NO *