Thank you for your interest. The application window has closed. HERITAGE COMMUNITY TRANSPORTATION COURTESY RIDER CARD APPLICATION Deadline: August 4, 2025Recipients will be notified in August. Organization Information Organization Name Primary Contact Name Title/Position Contact Phone Number Contact Email Address Organization Address Website Eligibility Confirmation Organization Type (check one): Organization Type (check one): Nonprofit School/Educational Institution Government-Affiliated Entity Other (please specify): Other Program Need & Impact 1. Briefly describe your organization’s mission and the clients you serve: 2. How many clients does your organization serve within Heritage Community Transportation’s service area? 3. How many Courtesy Cards are you requesting? 4. Please describe how these cards will help your clients: 5. If approved, how quickly can your organization distribute the cards to clients? 5. If approved, how quickly can your organization distribute the cards to clients? Within 2 weeks Within 4 weeks Within 6 weeks Other (please specify): Other Agreement All Applicants Must: All Applicants Must: Distribute Courtesy Cards only to clients within the Heritage Community Transportation service area within six weeks Attend HCT courtesy card training Use the cards to support clients in overcoming transportation barriers for essential needs Engage in PR, social media, or outreach efforts in collaboration with Heritage Community Initiatives Participate in any brief reporting or feedback efforts requested by Heritage Community Transportation Authorized Representative Name Date Submit your completed application by August 4, 2025. Recipients will be notified in August. 7 + 9 = SUBMIT
