MCRS KC Chapter Member Application | Missouri Department of Transportation

MCRS - KC Chapter Member Application

Please fill out the application below.

Mission Statement

The Kansas City Coalition for Roadway Safety is a community of advocates dedicated to making Missouri roadways safer by decreasing traffic fatalities and serious injuries within our 9 counties. We are focused on education, community outreach, enforcement, leadership, and partnerships that advance Missouri’s strategic highway safety plan.

Purpose

To improve roadway safety.

Member Information

First Name*

Last Name*

Cell Phone*

Work Phone

Email*

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

County*

General Information

Birthday Month

SHOW-ME ZERO Key Behaviors

Which interest you the most?

Link: SHSP Blueprint 2023.pdf (modot.org)

Occupant Protection

Distracted Driving

Speed & Aggressive Driving

Impaired Driving

Teen Drivers, Older Drivers, Pedestrians/Non-motorized users

What is your background or interest in roadway safety? Why is this coalition important to you? Describe the roadway safety issues facing your community.*

KC-MCRS chapter would like to be involved in & advance your community and school activities. Please share information about events, provide links and contacts if possible. Are events annual?*

Person Referring?

Did someone recommend that you join, if so, please provide their name.

I have reviewed the membership guide

View the membership guide by clicking and opening link in a new tab: MCRS-KC Membership Guide.pdf

I have reviewed the MCRS-KC Bylaws

View the Bylaws by clicking and opening link in new tab: Bylaws | Missouri Department of Transportation

Check this box if you would you be willing to host a MCRS meeting