Partner Organization Application

Organization Information

Organization Name*

Mission Statement*

Organization Tax ID #*

Website

Name of Main Contact for Organization*

First Last

Title/Role of Main Contact*

Phone*

Email*

ADDRESS INFORMATION*

Street Address Address Line 2 City State ZIP Code

Are you applying on behalf of a school or district?

Yes
No

Has your organization been a partner with Free Bikes 4 Kidz in past years? If so, which years?*

2018
2017
2016
My organization has not partnered with FB4K in the past.

Bikes Requested

Please estimate the number of bikes your organization might need.*

Note that the amount of bicycles Free Bikes for Kidz can provide is dependent on our inventory and competing demands of our partner non-profits. This number is not guaranteed.

What is the age group (or groups) for the bikes you are requesting?*

0-3 years old
4-6 years old
7-11 years old
12-18 years old

Participation

Would you or your organization be interested in coordinating volunteers from your staff or your youth families at the Free Bikes for Kidz warehouse?

Yes!
No, thank you.

Additional Education and/or Encouragement

We know that bikes are much more likely to continue to be ridden when our partner organizations have supporting education and encouragement activities. While we will try to meet the needs of all of our partners, we prioritize those that are able to do to any of the following. Please indicate what activities your organization plans to do with bike recipients:

Teaching helmet safety and fitting.
Holding a bicycle rodeo, to encourage youth to ride and teach important safety skills.
Teaching bicycle safety in the classroom or as a part of an afterschool activity.
Organizing a bike club, to go on regular rides together.
Organizing a bike train, to get kids in the neighborhood riding to school together.
Teaching flat changing or other basic mechanics courses so youth can continue riding after a mechanical issue.
We plan to use the bicycles as a part of a fleet of bikes for our school or organization's bike safety program.
Put them in contact with community resources related to bicycling such as community bike shops, advocacy groups, etc.
We don't have any activities planned, but would be interested in exploring more.