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 now accepting requests for 2022-2023 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 TXAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest 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)1st Altenate Contact Name(Required) First Last 1st Alt Contact Email(Required) 1st Alt Phone (Cell # preferred)(Required)1st Alt Contact Title 2nd Alternate Contact Name First Last 2nd Alt Contact Email 2nd Alt Phone (Cell # preferred)2nd Alt 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.# of 2nd graders below 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 Δ
