E-Mobility Task Force
At Large Community Position Application
Name
*
First Name
Last Name
Age
*
Please Select
13–17
18–24
25–34
35–44
45–54
55–64
65–74
75+
Applicants under the age of 18 must have permission from a parent or legal guardian. A parent or legal guardian will be required to provide consent before participation.
Parent/Guardian Name
First Name
Last Name
Relationship to Applicant
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Zip Code
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 000-000-0000.
Can you commit to a monthly meeting of 90 minutes-2 hours August through December on days and time to be determined?
*
Yes
No
Back
Next
I'm sorry, this position requires the ability to attend a monthly meeting of 90 minutes to 2 hour commitment.
Back
Next
Do you or a member of your household use e-mobility devices?
*
Yes
No
What types of e-mobility devices are used? Select all that apply.
E-bike
E-moto
Electric scooter (personal)
Shared e-scooter/e-bike (e.g., Lime)
Electric skateboard
OneWheel
Powered wheelchair
Other
How is e-mobility used? Select all that apply.
Commuting
Errands
Exercise
Just for fun
Trail riding
Other
Do you have safety concerns around e-mobility?
*
Yes
No
Where have you experienced safety concerns? Select all that apply.
Boise River Greenbelt
Sidewalks
Shared-use pathways
Bike lanes
Neighborhood streets
Major roadways
Downtown Boise
Parks
Intersections
Trail crossings
Parking areas
Other
What types of safety concerns have you experienced? Select all that apply.
Excessive speed
Near miss with another user
Collision
Unsafe passing
Congestion
Conflicts between pedestrians and e-mobility users
Conflicts with motor vehicles
Unclear signage or markings
Blocked pathways
Difficulty crossing streets
Poor lighting
Poor pavement or surface conditions
Other
Please describe why your perspective or experience would be valuable to include on the City of Boise E-Mobility Task Force.
*
Minimum of 200 words, maximum of 500 words.
0/500
Submit
Should be Empty: