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Youth Innovation Challenge
Application for 2024
Section 1: Applicant Contact Information
First Name
Last Name
Pronouns (optional)
Date of Birth*
*This program is open to youth 18–25
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Email
Phone
Zip Code
Section 2: Background Information
Ethnicity/Race
(Please check all that apply):
Asian
Black or African American
Hispanic, Latinx, or Spanish Origin
Middle Eastern or North African
Native American or Alaska Native
Native Hawaiian or Other Pacific Islander
Southeast Asian
White/Caucasian
Other
Other (please specify)
Sociodemographic Representation
(Please check all that apply):
LGBTQIA+
Disability Community/Disability Rights, Low-Income
Displaced, Housing Insecure, Unhoused Native American Tribe
Formerly Incarcerated/Systems-Impacted
Rural Communities
Other
Prefer Not to Answer
Areas of Expertise
Please check all fields in which you have experience (professional, volunteer, personal or other):
Transportation/Rail Infrastructure/Planning/Housing/Land Use
Environmental (e.g. Air Quality, Water Quality, Climate Change)
Environmental Justice Diversity, Equity, and Inclusion
Economic Development/Workforce and Training Development
Other
None of the above
Section 3: Your Interest
Tell us about your interest in the Transportation Industry. (300-word limit)
Tell us about your interest in joining the Youth Innovation Challenge. (300-word limit)
Are there any transit-related topics you are interested in? (300-word limit)
Tell us about your life and/or professional experience in reference to transportation, housing, planning, environmental justice, economies, advocacy, social justice, equity, and anything else you find may be related to your participation in the Youth Innovation Challenge. (300-word limit)
Section 4: Availability
Do you work?
Yes
No
How many hours per week do you work?
Are you enrolled in school?
Yes
No
Hours available
This mentorship program starts on April 1 and ends in July 2024. Are you available to participate an approximate of 40–60 hours?*
*Additional time if advancing to the National Challenge
Yes
No
What days and times are you available?
This information will be used to plan in-person workshops, collaboration meetings, etc.
(Check all that apply)
Monday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
Tuesday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
Wednesday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
Thursday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
Friday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
Saturday:
9:00am –12:00pm
1:00pm – 3:00pm
4:00pm – 6:00pm
None of the above
For additional information about the AC Transit Local Youth Innovation Program,
contact Justin Augustine jaugustine@actransit.org / 510-332-1452
In conjunction with Metropolitan Transportation Commission and Iyai+