First and Last NAME
Street Address, City and Zip

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* 1. First and Last NAME
Street Address, City and Zip

Phone, Email address, and any Social media links

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* 2. Phone, Email address, and any Social media links

Select all of the social media platforms with which you are acquainted and comfortable to maintain on behalf of Cyclist Connection.

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* 3. Select all of the social media platforms with which you are acquainted and comfortable to maintain on behalf of Cyclist Connection.

Are you at least 18 years old?
All applicants must be at least 18 years old as of January 01, 2018.

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* 4. Are you at least 18 years old?
All applicants must be at least 18 years old as of January 01, 2018.

How did you get into cycling?
What do you enjoy most about riding your bike?

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* 5. How did you get into cycling?
What do you enjoy most about riding your bike?

What type of riding do you enjoy? (check all that apply)

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* 6. What type of riding do you enjoy? (check all that apply)

Why do you want to be a Cyclist Connection Ambassador?

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* 7. Why do you want to be a Cyclist Connection Ambassador?

Describe the type of events, cycling and promotional, you would like to organize.
Be specific with examples.

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* 8. Describe the type of events, cycling and promotional, you would like to organize.
Be specific with examples.

How many hours a month do you anticipate being able to dedicate to being a Cyclist Connections Ambassador?

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* 9. How many hours a month do you anticipate being able to dedicate to being a Cyclist Connections Ambassador?

Are you available to assist with at least one Cyclist Connection event each month?

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* 10. Are you available to assist with at least one Cyclist Connection event each month?

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