Public Participation Task Force Application

The purpose of this application is to help DVRPC create a diverse, engaged body to address regional planning and public participation practices in the nine-county DVRPC region. Share with us your personal experience living in the region and with planning projects; you are an expert of your own community and we want to hear from you!

Elected officials are not eligible to serve as at-large members of the Task Force because we are striving to engage citizens who do not already play a role in the planning process. As an elected official, you may actively participate in other DVRPC plans and programs, and we constantly endeavor to engage the region's municipal and county governments through a variety of specific programs.

Name*

Email*

Home Address*

City*

Zip*

County*

Mailing Address
(if different from above)

Preferred Phone*

Occupation*

How long have you lived in the nine-county region served by DVRPC (Bucks, Chester, Delaware, Montgomery, and Philadelphia in Pennsylvania; and Camden, Burlington, Gloucester, and Mercer in New Jersey)?*

Please list any community organizations, boards, or other agencies in which you actively participate or have participated in the last five years, as well as any other experience pertinent to the mission of this Task Force.

Organization	Position	Relevant Dates

How did you find out about the Public Participation Task Force?*

DVRPC social media or newsletter
Email from DVRPC staff

Word of mouth

Please provide two reference that may speak to your community involvement, leadership ability, or your interest in regional and transportation planning.

First Reference Name*

Title*

Affiliation*

Phone*

Second Reference Name*

Title*

Affiliation*

Phone*

Statement of Interest*

The purpose of the Task Force is to meaningfully engage with residents in the region, create an educational forum for the regional transportation planning process, and elevate voices of community members. To better understand your interest in joining the PPTF, provide a statement of interest below (500 words maximum) that addresses the following:

What do you hope to learn by becoming a member of the PPTF?
What interests you about being a part of the regional planning process?

Expertise and Interests

Check off your area(s) of expertise. Select all that apply.

Expertise is defined as academic, personal experience, paid work, and/or volunteer experience in the topic area. If "Other", please list your choice in that option.

Advocacy/Community Organizing
Aviation and Aviation Planning
Bicycle and Pedestrian Planning
Climate Change
Communications/Marketing
Community and/or Economic Development
Engineering
Environmental Issues
Goods Movement/Freight
Housing
Incident Management/First Responder
Intelligent Transportation Systems (ITS)
Land Use Planning
Public Health
Public Involvement/Citizen Planning
Research/Data Analysis
Transit/Transportation Safety Planning

Check off topic areas you would like to learn more about. Select all that apply.

Demographics

Task Force membership will ideally represent the region by geographic and demographic diversity. Please help us create a more inclusive group by sharing some of your demographic characteristics.

Age

Under 19
20 to 24 years
25 to 34 years
35 to 44 years
45 to 54 years
55 to 59 years
60 to 64 years
65 to 74 years
75 to 84 years
85 years and over
Prefer not to answer

Are you of Spanish, Hispanic, or Latino origin?

Yes
No
Prefer not to answer

Race (choose all that apply)

Black or African American
Native American/American Indian or Alaskan Native
Asian Indian
Chinese
Filipino
Other Asian
Japanese
Korean
Vietnamese
Native Hawaiian
Guamanian or Chamorro
Samaon
Other Pacific Islander
White
Some other race (fill out answer in "Other")

Preferred Pronouns

She/Her
He/Him
Them/Their

Prefer not to answer

Do you consider yourself a person with a disability?

Yes
No
Prefer not to answer

Experience with Diversity and Inclusion

If there are additional aspects of your identity and/or experiences with diversity and inclusion that you would like to share, please do so below. You will not be asked to disclose this information to the Task Force or be the representative for that identity; this information will exclusively be used in the application review phase for DVRPC’s PPTF diversity and inclusion initiative.

Is there anything else you would like to share with us?

To submit your application, click the Apply button below. Applications are accepted year-round and reviewed annually in December/January. You will be contacted once your application enters the review process.

If you do not receive a confirmation email after submitting your application, check your spam folder and/or contact Shoshana Akins, manager of the PPTF, at sakins@dvrpc.org or 215.238.2817.

All information contained in the applications received will be kept confidential.

Having trouble with the online application portal?

Download the application [0.2 mb PDF] and email to Shoshana Akins at sakins@dvrpc.org or mail to DVRPC, 190 N Independence Mall West, 9th floor, Philadelphia, PA 19106.