Program Request From Page

Organization Information*

Legal Name of Organization*

EIN

Organization Phone*

Organization Fax

School or District Website**

Mailing Address*

Mailing Street Address*

Address Line 2

City*

State*

Postal / ZIP Code*

Contact Information

Name*

Contact Title

Contact Phone*

Contact Email*

ORGANIZATION INFORMATION

Year Founded*

Mission Statement*

Number of People Served Annually **

The Number of Individuals Served Annually Overall By This Organization.*

The Inclusive Learning bike fleet is customized to meet your program's needs. Please provide the information below in order for the All Kids Bike team to build a fleet custom for your organization.

Please specify the age range and the number of individuals who will be directly impacted by this project*

Where did you hear about All Kids Bike?*

Where did you hear about All Kids Bike?

Proof of 501(c)(3) or Government Entity Status*

Strider Education Foundation is a 501(c)(3) nonprofit and can only fulfill programs with nonprofit organizations, not-for-profit schools and public school systems. If you have any questions about eligibility, please email info@allkidsbike.org or call (605) 956-3877.

Proof of 501(c)(3) or Government Entity Status*

SELECT FILES

Max. file size: 8 MB.

By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge.

Type Name of Principal or Executive Director*

Signature of Principal or Executive Director*

Signature of Executive Director

Date

OTHER PROGRAM REQUESTS

Organization Information*

Mailing Address*

Contact Information

The Number of Individuals Served Annually Overall By This Organization.*

The Inclusive Learning bike fleet is customized to meet your program's needs. Please provide the information below in order for the All Kids Bike team to build a fleet custom for your organization.

Proof of 501(c)(3) or Government Entity Status*

By signing below, I certify that the information contained in this application is true and correct to the best of my knowledge.

Date

Menu

Resources

Forms