English Español Oromoo Soomaali Tagalog Tiếng Việt Русский Українська العربية ትግርኛ አማርኛ 中文(简体) 中文(繁體) 한국어 English King County Transit Advisory Commission Application If you need assistance filling out this application or would prefer to complete this survey in another language or format, please email HaveASay@kingcounty.gov or call (206) 263-9768.Thank you for your interest in the King County Transit Advisory Commission (TAC). The role of the TAC is to advise Metro’s staff members and general manager, the King County Executive and Council, local jurisdictions, and related transportation boards concerning transit policy issues, projects, and programs. Please visit our webpage for more information.The TAC is a volunteer commission made of community members representing each of the nine King County Council districts (see a district map). Each member is appointed by the County Executive and confirmed by the County Council by motion. Membership includes transit riders, family members of transit riders, and/or potential transit riders.Individuals selected to serve on a King County board or commission will also be required to complete a King County Ethics Program Financial Disclosure Form within two weeks of being nominated to serve on a King County board or commission.PLEASE NOTE: Information provided on this form will be a public record subject to free and open examination by any person under the Washington State Public Records Act (RCW 42.56.250). However, while we will disclose the applicant’s name, the following will be redacted: applicant’s address, phone number and email address. Member time commitment and required activities Attend 2-hour monthly meetings held on the third Tuesday, 6– 8p.m. Attend subcommittee meetings as needed Attend yearly retreat (time and date for 2023 TBD) Communicate via email and/or phone with TAC liaisons The TAC meetings are held virtually via Zoom until further notice. Once it is safe to do so, we will return to in-person meetings held in King Street Center, Seattle. Contact Information Question Title * 1. What is your name? Question Title * 2. What is your contact information? Email Address Phone Number Question Title * 3. Transit Advisory Commission members are required to be residents of King County. What is your physical address? (If you are experiencing homelessness or have unstable housing, please enter your last known address or a current address where you can receive mail.) Question Title * 4. Emergency contact (optional) Name Relationship Contact info Personal information (optional)The King County Council and the King County Executive are committed to inclusiveness and outreach to all King County residents to ensure that King County boards and commissions are reflective of the community we serve. Providing information in the section below is voluntary but will assist in achieving this goal. Question Title * 5. Current employer Job Title Company Name Question Title * 6. How do you identify? Race/Ethnicity Gender Orientation Personal Pronoun: (he/him; she/her; they/them, etc.) If you would like us to refer to you with different pronouns in meetings versus in person for safety reasons, please let us know. Question Title * 7. Generation range (please select the age range that applies to you) 30 or younger 31-41 42-52 53-63 64-74 75 or older Access Question Title * 8. Do you have a disability as defined by the Americans with Disabilities Act? Yes No I'd rather not say Question Title * 9. What do you need to participate easily and comfortably in TAC activities, like virtual meetings or email/phone correspondence? Select any that apply. ASL interpreter Tactile ASL Advance copy of presentation materials Captioning during meetings Braille Large print Tactile map Language interpreter Transportation support (for in person meetings) Any other ways we can support your participation? Other (please specify) Question Title * 10. TAC members are assigned an email address for TAC-related communications. How do you plan to access this email address? Personal or library/community center computer or tablet Smartphone I do not have regular access to the internet, computer, and/or smart phone. Another way not listed here. Please specify. Question Title * 11. TAC meetings are held virtually on Zoom until further notice. How will you attend virtual meetings? Personal or library/community center computer or tablet Smart phone Dial in by telephone (from a line that does not connect to the internet) TTY I do not have regular access to a phone (e.g., smart phone, cell phone, landline) I do not have regular access to a computer or tablet Another way not listed here. Please explain Question Title * 12. Are you currently employed with King County? No Yes. Please list what division or department. Application questions Question Title * 13. Why would you like to serve on the King County Transit Advisory Commission? What is your connection to transit and/or a transit rider? Question Title * 14. What transit issues are you interested in learning more about through service on the TAC? Question Title * 15. What transit issues should the TAC address? Question Title * 16. What personal professional experience, background, or skills would you bring to the TAC? Question Title * 17. Can you commit to attending and participating in regular meetings and communicating with staff in a timely manner? Yes No Question Title * 18. By submitting this application, I affirm that the information I have provided in this application are true and complete to the best of my knowledge. Type your name Date Completing this application does not guarantee appointment to the Transit Advisory Commission. Your application will be provided to the King County Executive and County Council for appointment consideration. Submit