Regional Bicycle & Pedestrian Advisory Committee
Applications are due May 15, 2019.
If you need assistance completing this form, please contact Rachel Ruhlen at (540) 343-4417.
Email address *
Name *
Your answer
Other contact information
Your answer
Can you attend meetings from 3-5 pm on the 3rd Thursdays of August, October, January, and March, and 1-5 pm on the 3rd Thursday in May? *
Can you commit to a two-year term? *
Describe your interest or connection with bicycling and walking. *
Your answer
Describe your experiences and qualifications related to serving on this committee. *
Your answer
Select ALL areas to which you bring perspective and knowledge. *
Describe your experience or background in the areas you just checked. Do not omit any item you checked in the previous question.
Your answer
Select the MAIN area of which you bring perspective and knowledge. *
Is there anything else you'd like to tell us about your qualifications for this committee?
Your answer
We collect demographic information for Title VI compliance. This information will not be part of the selection process. What is your race/ethnicity?
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.