Marta Mobility Form PDF Details

Are you seeking improved mobility solutions for your city? The Marta Mobility Form could be the answer. Designed to help cities tackle transportation challenges, this form provides an efficient and cost-effective way to collect data from residents about their travel habits. With this information, local civic leaders can make decisions that improve public transit systems and provide better options for people on the go. In this post, we'll explore how the Marta Mobility Form works and its benefits for urban mobility development.

QuestionAnswer
Form NameMarta Mobility Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesmarta mobility application pdf, marta mobility services, marta mobility application online, marta mobility application form

Form Preview Example

MARTA

ELDERLY AND DISABLED ACCESS ADVISORY COMMITTEE (EDAAC)

RESOURCE MEMBERSHIP

APPLICATION

Name___________________________________

Date____________________

Home Address________________________________________________________

City_________________________ Zip Code__________

County_________________

Home Phone_____________________

Work Phone _______________________

Cell Phone _____________________

TDD ______________________________

1. Do you ride MARTA? ______Yes

or _____No (If yes, check all that apply)

Rail ___

Bus ___

MARTA Mobility (Paratransit) ___

If, yes how often: ___

Daily

___ 2 – 4 times a week

___monthly

___

Occasionally

___ Other_________________________

2.Describe how you became interested in the Elderly and Disabled Access Advisory Committee:______________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

3.Describe any previous involvement with MARTA or the EDAAC Committee: (i.e., community meetings, public hearings, service, ridership etc.)

Page 1 of 3 EDAAC Membership Application Revised November 10, 2010

4.Please name all community organizations in which you are currently a member that are transit related or deal with seniors and individuals with disabilities. In addition, please name all community organizations whose meetings you attend on a regular basis that are transit related or deal with seniors and individuals with disabilities.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

5.Please give a brief synopsis of personal and/or professional experience in working with seniors and/or individuals with disabilities?

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

6.Briefly explain why you want to be a member of MARTA’s resource committee.

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

7.If you are approved to become an EDAAC resource member, what value added contributions will you bring to the Committee, the Authority, seniors and individuals with disabilities?______________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

_____________________________________________________________________

8.Will you be able to commit to regular attendance at all EDAAC meetings? If not, what percentage of the 12 EDAAC Committee meetings would you be able to attend?

____100%

____90%

____80%

____70%

____60%

____50%

____40%

____30%

____20%

____10%

Page 2 of 3 EDAAC Membership Application Revised November 10, 2010

9.List additional information that may be important in the consideration of your application:___________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

Please append additional pages as need to tell us about other points of information that may be important in considering your application.

I WILL ABIDE BY THE RULES SET FORTH IN THE MARTA ELDERLY & DISABLED ACCESS ADVISORY COMMITTEE BY-LAWS.

SIGNATURE: ___________________________________

Date: _________________

 

 

 

RETURN APPLICATION:

Attention: MARTA Office of DEO

2424 PIEDMONT RD NE

ATLANTA, GA 30324-3330

(404) 848-4037

Page 3 of 3 EDAAC Membership Application Revised November 10, 2010