NEMT Webinar Registration

Title: NEMT Webinar
Date: November 30, 2016

Time: 1:00 - 2:30 p.m. Central
Presenters: Rich Garrity, RLS & Associates
Sarah Lenz, MnDOT
Noel Shughart, MnDOT

Please contact Kelly Martone (contact info below) if you have any questions regarding the content of this webinar.

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 webinar details, including connection information will be emailed the day prior to the webinar.

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 :