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.

Step 1 of 4

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)

Primary Contact Name(Required)

First Last

Primary Contact Email(Required)

Alternate Contact Name

First Last

Alternate Contact Email

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

School Phone

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 100.

%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.

Programs you use to measure Reading Levels

BRR (Benchmark Running Records)

iStation

Renaissance Star 360

List other measuring programs you use, if any

Name of Principal overseeing the program

Name of Administrator overseeing the program

Name of Staff member that will assist in the program

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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