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* 1. Jurisdiction and Department Submitting

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* 2. Contact Person

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* 3. Community you are nominating

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* 4. Please describe where the community is located and the populations that would be targeted.

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* 5. Why do you think this community would be a good candidate for a community-based transportation plan? What are the demographics of the target community? In what way has this community been historically marginalized?

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* 6. What community transportation challenges or opportunities do you think a community-based transportation plan could address?

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* 7. What community-based organizations serve this area and may be interested in participating in the planning process? Has your government spoken with any of these organizations about participating in this planning process?  

Note we encourage participation of organizations or entities that have not traditionally focused on transportation, for example: faith-based organizations, health organizations, direct service organizations, small businesses, neighborhood groups, schools, etc. However, nomination jurisdictions do not need to have partnerships formalized at this point.

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* 8. Have any community or transportation plans been done in this community? If so, when and by whom?
 
Beyond plans, has your council or board of commissioners demonstrated interest or commitment to addressing the concerns of this community?

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* 9. What other jurisdictions or agencies would likely be involved in this planning process for this corridor?

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