Youth Innovation Challenge
Application for 2024

Section 1: Applicant Contact Information

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First Name

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Last Name

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Pronouns (optional)

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Date of Birth*

*This program is open to youth 18–25

Date

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Email

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Phone

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Zip Code

Section 2: Background Information

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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)

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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

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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

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Tell us about your interest in the Transportation Industry. (300-word limit)

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Tell us about your interest in joining the Youth Innovation Challenge. (300-word limit)

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Are there any transit-related topics you are interested in? (300-word limit)

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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

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Do you work?

Yes

How many hours per week do you work?

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Are you enrolled in school?

Yes

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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

What days and times are you available?
This information will be used to plan in-person workshops, collaboration meetings, etc.
(Check all that apply)

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Monday:

9:00am –12:00pm

1:00pm – 3:00pm

4:00pm – 6:00pm

None of the above

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Tuesday:

9:00am –12:00pm

1:00pm – 3:00pm

4:00pm – 6:00pm

None of the above

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Wednesday:

9:00am –12:00pm

1:00pm – 3:00pm

4:00pm – 6:00pm

None of the above

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Thursday:

9:00am –12:00pm

1:00pm – 3:00pm

4:00pm – 6:00pm

None of the above

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Friday:

9:00am –12:00pm

1:00pm – 3:00pm

4:00pm – 6:00pm

None of the above

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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+

Youth Innovation ChallengeApplication for 2024

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* First Name

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* Last Name

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* Pronouns (optional)

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* Date of Birth*

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* Email

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* Phone

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* Zip Code

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* Ethnicity/Race(Please check all that apply):

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* Sociodemographic Representation(Please check all that apply):

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* Areas of ExpertisePlease check all fields in which you have experience (professional, volunteer, personal or other):

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* Tell us about your interest in the Transportation Industry. (300-word limit)

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* Tell us about your interest in joining the Youth Innovation Challenge. (300-word limit)

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* Are there any transit-related topics you are interested in? (300-word limit)

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* 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)

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* Do you work?

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* Are you enrolled in school?

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* Hours availableThis 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

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* Monday:

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* Tuesday:

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* Wednesday:

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* Thursday:

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* Friday:

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* Saturday:

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Youth Innovation Challenge
Application for 2024

First Name

Last Name

Pronouns (optional)

Date of Birth*

Email

Phone

Zip Code

Ethnicity/Race
(Please check all that apply):

Sociodemographic Representation
(Please check all that apply):

Areas of Expertise
Please check all fields in which you have experience (professional, volunteer, personal or other):

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)

Do you work?

Are you enrolled in school?

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

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday: