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Essential Bikes Application
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Essential Bike Application
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Essential Bikes Candidate Application
This application is meant only for individuals that require an Essential Bike as a primary form of transportation. Only one bike will be given per applicant. You will not get a bike if you have already received an Essential Bike before.
Date of Birth
Reference (i.e. church, boss, etc.)
Reference's Phone Number
Description of Need
To help us determine the right bike for you, in 300 characters or less, please tell us why you need a bike and describe the distance and route you often travel or will need to travel.
Rules and Regulations
Bike must remain locked at all times when not in use - a bike lock will be provided to you. Bike cannot be sold or gifted to another party. You must follow all bike rules of the road, such as:riding on sidewalks is acceptable except downtown and Aggieville, you must have lights (provided by program) to ride after dusk and before dawn, you must obey traffic signs and signals.
By signing this document, you agree to care for the bicycle given to you and follow the instructions listed above at all times. If you fail to follow the rules of this program, it is possible the program will request the bicycle back from you.
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