Public Outreach

Application for Advisory Committees

The Metropolitan Transportation Commission invites Bay Area residents to serve on one of three advisory committees (see fact sheets for specific information on each of the committees). The committees advise MTC — the regional transportation planning and financing agency for the nine-county San Francisco Bay Area — on transportation matters of concern to the public. Each member is appointed by the Commission for a two-year term. Please complete this application and hit SEND at the bottom of the page, or download a printable application (Word or PDF) and return it to: MTC Public Information Office, 101 – 8th Street, Oakland, CA 94607-4700, Fax: (510) 817-5848.

For more information, call MTC Public Information, (510) 817-5787.

Please fill out the following information
Note: Do not hit the ENTER key while completing this form, as your data may then be lost.

Name

first

middle

last

Address

street
city	zip

Phone

home
work
fax

Email

County of Residence

Are you over 18 years of Age? Yes No

Have you ever served on an MTC Advisory Committee? Yes No

If yes, please check the name of the committee(s):

Minority Citizens Advisory Committee		Years of Service
Elderly and Disabled Advisory Committee		Years of Service
Advisory Council		Years of Service

Check one or more of the three Advisory Committees of interest:
MTC Advisory Council
Advises MTC on the Bay Area’s 25-year transportation plan and investment strategy, integrated transportation and land use planning, funding priorities and other subjects. The Advisory Council is composed of 24 members appointed from the interest categories shown below. (In addition, two members each from the Minority Citizens Advisory Committee and the Elderly and Disabled Advisory Committee are appointed to the Advisory Council.)

Please check the membership category or categories for which you are applying.

INTEREST Category		TRANSPORTATION USER Category
Academia		Freight
Architecture		Transit
Business		Automobile
Community		Non-motorized Transportation
Construction
Engineering
Environmental
Labor
News Media
Safety

Minority Citizens Advisory Committee
Advises MTC to ensure that the views and needs of minority and low-income communities are adequately reflected in MTC policies. The committee is composed of twenty-six (26) members, 24 of whom are from the nine Bay Area counties who must be of African American, Asian, Hispanic/Latino or Native American descent. In addition, two members are from, or work with, a low-income community.

Please check the membership category or categories for which you are applying.

Member Category
African American
Asian
Hispanic/Latino
Native American
Low-income

Elderly and Disabled Advisory Committee
Advises MTC on transportation projects and services that affect older adults and persons with disabilities. The committee is composed of twenty (20) members, with one elderly and one disabled advisor appointed from each of the nine counties, plus two appointed by MTC’s regional agency Commissioners.

Please check the membership category or categories for which you are applying.

Member Category
Elderly
Disabled

Reasons for Wanting to Serve

1. Why do you want to serve as an advisor to MTC? What would you contribute to the advisory committee? (Please specify special skills, interests or knowledge of transportation.)

2. Do you have any time constraints or other challenges serving a two-year term?

3. What modes of transportation do you use primarily: a) for work, b) for other activities?
(Please specify automobile, public transportation, paratransit services, carpool, bicycle/pedestrian.)

4. Do you have any experience with paratransit services? yes no
If yes, please describe your experience:

5. What suggestions, ideas, needs, or areas of concern do you want to see addressed in regional transportation planning for the nine Bay Area counties?

6. Please list memberships in any associations or organizations, including professional, volunteer and community activities in which you have been or are now actively involved. In addition, list any leadership positions you have held (such as chair, vice chair, or elected Board officer) and in which county.

Ethnic Background (Optional)

African American/Black

Asian or Pacific Islander

Caucasian

Hispanic/Latino

Native American/American Indian/Alaskan Native

Other (please state)

Employment History
List your last two employers and briefly describe your job

Employer	Occupation/Job Title	Length of Service

Brief description of duties for above job

Employer	Occupation/Job Title	Length of Service

Brief description of duties for above job

References
List the names of at least two persons who have known you for two years or more.


Name	Address/Telephone	Business/Organization	Years Known

I certify that the foregoing statements are true and complete to the best of my knowledge.

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