Question Title

* 1. Name

Question Title

* 2. Employer

Question Title

* 3. Title

Question Title

* 4. How many years of experience do you have in the transportation industry (those with 10+ years’ experience are eligible to apply)?

Question Title

* 5. Please provide a brief description (3-5 sentences) of what your job responsibilities details?

Question Title

* 6. Why are you interested in this program?

Question Title

* 7. What do you hope to gain/learn from this program?

Question Title

* 8. The conference room is currently reserved for June 9th, 16th, and 19th. Please indicate which date(s) you are available. Only one date will be selected based on the majority of responses.

Question Title

* 9. The conference room is currently reserved for the full day. Please indicate which times you are available. Only one time will be selected based on the majority of responses.

Question Title

* 10. If the preferred time is 12:00 pm, which would you prefer? WTS-Boston intends to provide drinks (water, coffee, tea), fruit and/or cookies.

Question Title

* 11. If lunch is provided, do you have any dietary restrictions?

Question Title

* 12. The Roundtable will include two or three discussion topics. Please rank the following topics from 1 (most preferred) to 5 (least preferred). Selected topics will be distributed to attendees prior to the event.

Upon completion of your application, please forward your resume to Jackie Davis at jdavis@hshassoc.com.

T