Riders' Advisory Council Application Preview

Please review your application before submission. You may click on the "EDIT" or browser "BACK" button to make changes to the information entered in the form. After submission, you may print a copy of your completed application.

Name
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Address
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City, State, Zip Code
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Daytime Phone/TTY
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Evening Phone/TTY
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Email Address
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In an average week, how many times do you ride Metrorail?
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Which Metrorail lines do you take?

In an average week, how many times do you ride Metrobus?
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Which Metrobus routes do you take?
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In an average week, how many times do you ride MetroAccess?

What do you use Metrorail, Metrobus or MetroAccess for?

Which best describes your race and/or ethnic background?
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Is English your first language?
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Which level of education have you completed?

What is your household's annual income range?

Do you consider yourself transit dependent?
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Please provide a brief statement (500 words or less) outlining why you wish to serve on the Riders Advisory Council. Include your community involvement/volunteer activities:
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Do you have any experience and familiarity with regional transit issues?
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Please describe how you — as a member of the Riders' Advisory Council — would solicit feedback from fellow Metro riders.
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Normally, the commitment to the council will require 3-4 hours per month. Can you commit 3-4 hours per month to the council?
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The council meets the first Wednesday of every month from 6:30 - 8:30 p.m. Can you meet at this time?
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Metro may use or disclose the individual information collected on this form to fill positions on the Riders' Advisory Council. Providing this information is voluntary, but an individual who does not submit a complete application may not be considered as a candidate for membership on the Riders' Advisory Council. Information from this form may be disclosed for law enforcement purposes; to congressional offices or offices of elected officials in the Transit Zone; to contractors, grantees and others; for administrative claims, complaints and appeals; and in connection with litigation. Selected information about Riders Advisory Council members may be disclosed to the public. By signing this application, I swear or affirm that 1) I am not an employee of Metro or a Metro contractor, 2) I am not an elected public official, 3) all of the information provided here is true, 4) if selected, I will sign a standards of conduct agreement, 5) I will have sufficient time to devote to this responsibility, and 6) I will commit to attend the required meetings.

By signing this application, I swear or affirm that
1) I am not an employee of Metro or a Metro contractor,
2) I am not an elected public official,
3) all of the information provided here is true,
4) if selected, I will sign a standards of conduct agreement,
5) I will have sufficient time to devote to this responsibility, and
6) I will commit to attend the required meetings.

Your first and last names are required to sign this application. Please go back to enter missing information