Advanced Service Planning Workshop Registration

Title: Advanced Service Planning
Date: November 15-16, 2016
Presenters: Carol Wright and Kristi McLaughlin, Easterseals Project Action Consulting

Please contact Kelly Martone (contact info below) if you have any questions regarding this workshop.

Kelly Martone
MnDOT - Office of Transit
(651) 366 - 4174
Kelly.Martone@state.mn.us

Respond to each of the questions below to register for the workshop. Additional workshop details will be provided soon.

Question Title

* 1. Provide your contact information.

Name (first and last): *

Organization: *

Job Title:

Address:

City:

State:

Zip:

Email (Double check for accuracy): *

Phone Number:

Question Title

* 2. Please indicate which funding type(s) your organization receives.

5311

5310

5307

We do not receive any of the above types of funding.

Question Title

* 3. You will be provided with electronic copies of all materials required for participation in this event. Do you require an additional accommodation to participate? If yes, please provide detailed information of your accommodation request in the space to follow :