Ticket to Work
Please fill out form completely.
All items with an * are required.
If you have any questions concerning this form, contact KMM using the contact page.
All items with an * are required.
If you have any questions concerning this form, contact KMM using the contact page.
How did you hear of this program being offered by KMM?:*
Website
Radio
Newspaper
KMM Newsletter
My Employer
KMM email blast
Other
My Contact Information
First name:*
Last name:*
Address:*
City:*
State:*
Zip code:*
Phone:*
Email:*
First Round Trip Ticket
Bus Route Number:*
Board Bus At:
Address:*
City:*
State:*
Zip code:*
Getting Off Bus At:
Address:*
City:*
State:*
Zip code:*
Second Round Trip Ticket
Bus Route Number:*
Board Bus At:
Address:*
City:*
State:*
Zip code:*
Getting Off Bus At:
Address:*
City:*
State:*
Zip code:*
Third Round Trip Ticket
Bus Route Number:*
Board Bus At:
Address:*
City:*
State:*
Zip code:*
Getting Off Bus At:
Address:*
City:*
State:*
Zip code:*
Rules of Participation
- Participants will receive 3 round trip bus passes to seek employment in Middlesex County.
- After employment is obtained, KMM will provide 10 round trip bus passes for the first two weeks of employment.
- Participants are responsible for securing their own employment and all employment is strictly between the employee and the employer.
- Tickets are not redeemable for cash. Lost, damaged or stolen tickets will not be replaced.
- Participants may use the program only once. If a employment is terminated, participant may not re-apply to the program.
- Participants should use regularly scheduled NJ Transit or Middlesex County DOT buses for all job related travel.
- Failure to comply with the rules will result in termination of program benefits.
- KMM reserves the right to modify, change or cancel the program without prior notice.