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

Are you a Title-1 School(Required)

CYCLE 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 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 month

Programs you use to measure Reading Levels

BRR (Benchmark Running Records)

iStation

Renaissance Star 360

List 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)

Will you ensure that on delivery day is a day of celebration for the students?(Required)

Will you ensure the grades and details are entered correctly and honestly?(Required)

We 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?

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