How Your School Can Participate If you are a school representative of a qualified Title-1 school and would like to participate in the CYCLE Bike Program, then please take the time to submit the following questionnaire. We are out of bikes for 2021 and are no longer taking requests. We will accept requests for 2022 at the beginning of August. Step 1 of 5 20% Are you a Title-1 School(Required)YesNoCYCLE supports qualified Title-1 schools. Please check back with us when you become qualified as Title-1. School District(Required) School Name(Required) School Address(Required) Street Address City TXAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code School Phone School Principal Name(Required) First Last Principal Email(Required) Principal Phone (Cell # preferred)(Required)Primary Contact Name(Required) First Last Primary Contact Email(Required) Primary Phone (Cell # preferred)(Required)Primary Contact Title Alternate Contact Name First Last Alternate Contact Email Alt Phone (Cell # preferred)Alternate Contact Title BOY Minimum Expected Reading Level(Required) MOY Minimum Expected Reading Level(Required) EOY Minimum Expected Reading Level(Required) Target Bike Delivery December May Select target bike delivery monthPrograms you use to measure Reading Levels BRR (Benchmark Running Records) iStation Renaissance Star 360 Select AllList other measuring programs you use, if any Total # of Students in 2nd Grade(Required)Please enter a number from 0 to 1000.# Students below 2nd grade level(Required)Please enter a number from 0 to 1000.%Students receiving Free/Reduced Breakfast(Required)Please enter a number from 0 to 100.%Students receiving Free/Reduced Lunch(Required)Please enter a number from 0 to 100.% of Student body considered Title-1 qualified(Required)Please enter a number from 0 to 100. Will ALL teachers administer the contracts and hold their students accountable?(Required)YesNoWill you ensure that on delivery day is a day of celebration for the students?(Required)YesNoWill you ensure the grades and details are entered correctly and honestly?(Required)YesNoWe us a form for the contracts to be signed and the grades to be entered. If your school is accepted into our program, will you ensure the grades and details are entered correctly and honestly?CAPTCHA