MAC Application At Large
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION. ALL INFORMATION WILL BE KEPT CONFIDENTIAL.
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Advise on system accessibility features and improvements
Provide a communications link between any group(s) they represent, SacRT management and the Board of Directors
Represent their interest/expertise area to SacRT
Attend a majority of all monthly meetings
Read and review agenda packets and reports in advance of meetings
Read reports, deliberate findings, and strive for consensus and conclusion on issues
Have or be willing to gain knowledge of the public transportation system
Do you feel that you would be able to meet these expectations?
(Required)
Yes
No
PLEASE PROVIDE US WITH THE FOLLOWING INFORMATION. ALL INFORMATION WILL BE KEPT CONFIDENTIAL
Name
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Phone Number/TTY
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Email
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Address
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Please list any organizations or interest groups with which you have a current or past affiliation:
Organization
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Position(s) Held
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Length of Time Affiliated
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Number of Members in Group
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The Mobility Advisory Council is looking for members who are leaders in their community and/or within their respective organizations. Please describe your leadership experience and/or ways you are a leader within your organization. How would you describe your leadership style?
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The Mobility Advisory Council is an advisory (not decision-making) body. What are some of the important issue areas you could help advise SacRT on?
(Required)
Council Members must have excellent listening and communication skills – for communicating with SacRT Boards and Staff, with the public, and for bringing issues from and to members of your organization or community. How will you share information with your members on a regular basis?
(Required)
What is the most important contribution that you could make to the Mobility Advisory Council?
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Using only the space provided, please explain why you are interested in serving on the Sacramento Regional Transit Mobility Advisory Council. ?
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What is your age category? Please check the appropriate box.
18-35
36-50
51-64
65 or older
What is your gender? (optional)
Male
Female
What is your ethnic background? Please check the appropriate box(es).
White/Caucasian
Black/African American
Hispanic/Latino(a)
Native American
Asian/Pacific Islander
Other (specify)
Other:
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Please indicate which interest or expertise area(s) you represent:
(Required)
Mobility-related Disabilities (wheelchair user or other mobility device)
Visual Impairment
Hearing-related Disability
Cognitive Disability (Mental Impairment or Developmental Disability)
Older Adults
Other (Please Specify)
Accessible Services Sacramento Regional Transit District P.O. Box 2110 Sacramento CA 95812-2110 FAX 916-455-3924