Apply to the Peer Program

APPLICANT INFORMATION

(All fields are required.)

Organization Name:

Organization Type:

Other:

City/ State

Organization Phone
(xxx-xxx-xxxx):

Contact Name:

Contact Email:

Contact Phone
(xxx-xxx-xxxx):

Required Please provide a valid phone number

How would you prefer to be contacted?

Phone

APPLICATION QUESTIONS

1. Please select the topic for which you are requesting peer assistance:

Other:

2. Have you discussed this request with anyone at FHWA (Division Office, Office of Planning, Other)?

No	Yes - if yes, please list the individual(s) and office(s):

3. Describe your organization and its role.

4. Describe your reasons for requesting peer assistance.

a. What is the specific transportation planning challenge that your organization faces?

b. How does it currently address this challenge?

5. How would receiving peer assistance through the TPCB Peer Program improve your organization’s ability to comply with current Federal planning provisions?

6. Which type of peer assistance would best meet your organization’s needs for the transportation planning challenge described above (select one)? [Please note that this selection is not binding and is subject to further review and approval by the TPCB Program.]

Peer Exchange

Peer Workshop

Peer Roundtable

Webinar

7. Please describe the reasons for selecting the type Peer Assistance - why is this the best event type to meet your needs?

Have you already identified a potential peer/peer agency? [Please note that this selection is not binding and is subject to further review and approval by the TPCB Program.]

No	Yes - if yes, please list the individual(s) and office(s):

8. What outcomes does your organization expect from participating in this peer event? Which actions or improvements do you expect your organization to implement as a result of participating in this peer event?

Please enter result in the box below to show you are human:

5 + 2 =

PEER PROGRAM

APPLICANT INFORMATION

APPLICATION QUESTIONS