V2NL27_Subscribe

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First name:

Last name

Title

Role

E.g. Elected Official, Board Member, Executive, Regional Planner, Transit Planner, Transportation Engineer

Organization

Motivation

What do you hope to learn from V2NL27, and how do you intend to apply it when you return? Please describe a specific challenge or opportunity in your work, the actions you could take, and your role in making those happen. Responses will be a key consideration in selecting participants. We value a clear intention to turn learning into action; a fully developed project or plan is not required.

Name referrer

Please enter the name of the person referring you, if applicable..

Opt-in

I understand that, if selected, a $500 commitment fee is required to secure my place, unless a waiver is granted. The fee is fully refundable if I cancel at least two months before the program and non-refundable thereafter.