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County or City of Residence OR County or City of Organization/Business you're representing:

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Please provide a brief statement about why you are interested in serving on the Transportation CORE:

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Please share any relevant qualifications and prior experience below.

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Have you attended a BRTB/BMC meeting or event or other local meeting(s) on transportation issues? If so, please describe or share what resonated with you about these events:

Transportation CORE circle of rainbow people To ensure we are reaching a diverse audience, please tell us a little about yourself. 

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Do you or your organization represent or have an affiliation with any of the following interested parties (check all that apply):

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Transportation CORE circle of rainbow people In an effort to ensure that we represent the community at large, please list the following as they apply to you. 

Please note, Your responses help us understand who we're hearing from and ensure we reach a broad, representative set of voices. All responses are private and are used only to help us improve our outreach and understanding.

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What is your age?

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What is your race/ethnicity? (select all that apply)

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What is your gender? (select all that apply)

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What is your highest formal education level?

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Please enter your contact information

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