Interest Form Name(Required) First Last Phone(Required)Untitled Yes, this is a cell phone Untitled Yes, you can text me Email What Program Are You Interested In? Check all that apply. RideWise: Learn how to ride public transit with a travel trainer Ride Together: Recruit your own driver who receives mileage reimbursement Fare Assistance: Free TriMet fare for individuals who meet income eligibility Door-to-Door Rides: Free rides for older adults 60+ and individuals with a disability Rural Rides: Free rides to the general public in rural Washington and Multnomah Counties Community Shuttles: Free shuttles in the Tri-County Area Do you need an interpreter? Yes What Language(s) do you speak?Transportation Notes (Optional)Who referred you to this form?(Required) Event staff Community partner Self: Online search CAPTCHAUntitled
