2021 Tranportation Innovation Conference

Mobility and Community Transportation Fee Waiver Application Form

*Required field(s) are indicated by an .**
* First Name
* Last Name
Title
* Email
* Affiliation/Organization
* Address
* City/Town
* State
* Zip Code	Numbers Only
* Phone Number	Numbers only, including area code
Why are you interested in attending the mobility, accessibility, and transportation equity track?
Please explain why you need the fee waiver.
Please check off whether you are a:
If other, please specify
Do you experience transportation challenges?
Do you participate in a Regional Coordinating Council on community transportation?
Have you attended the Massachusetts Community Transportation Coordination Conference in the past?
We will notify you within three weeks if you have received the fee waiver. If you receive the fee waiver, we will automatically register you. Thank you for your interest in the conference! If you do not qualify under these criteria but need assistance paying the conference fee, please contact Jennifer Henning at jennifer.n.henning@dot.state.ma.us to be added to a waitlist should additional funds become available (not guaranteed).