PIERCE TRANSIT
Travel Training - Information Request Form
Travel Training is a free service of Pierce Transit that provides self-paced instruction for individuals with disabilities and seniors who wish to use regular bus service and become familiar with public transportation options.
Name of the individual requesting Travel Training:
First Name
Last Name
Address
Street Address
Apartment Name and/or #
City
State / Province
Postal / Zip Code
Phone Number
Phone Number
E-mail Address
E-mail address
Name of person completing this form, if different from the name listed above:
First Name
Last Name
Phone Number
E-mail:
1. Are you interested in learning how to use public transportation independently? If so, which transportation mode would you like to use? Check all that apply.
Fixed Route Bus
RUNNER
Sound Transit Link
Sounder Train
Other, please explain:
2. Have you ever traveled independently on public transportation?
Yes
No
Other, please explain:
3. Do you have a physical or cognitive condition that would prevent you from traveling independently?
Yes
No
Please explain:
4. Do you use a mobility aid when traveling outside of your home? If so, please check all that apply.
Walker
Manual Wheelchair
Cane
Scooter
Powered Wheelchair
Other, please explain:
5. What type of transportation do you use now? Check all that apply
Drive my own vehicle
Private pay such as Lyft or Uber
Rides from Family/Friends
Pierce Transit Fixed-Route Bus
Facility transport
Pierce Transit SHUTTLE
Other, please explain:
6. Where would you like to travel using the fixed route bus system?
7. Will you require any reasonable accommodations, such as an ASL interpreter, etc. to successfully participate in Travel Training? If yes, please explain below.
Please use this space to add any other information you feel would be useful:
Submit
Should be Empty: