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* 1. Contact Information

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* 2. Funding for this pilot program requires that we prioritize participants from the following populations: youth 19-29, people of low income or living in poverty, Indigenous, Newcomer, women and girls, and/or essential workers. Do you identify with one of these? (If no, please still fill in the rest of the application and we'll be in touch.)

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* 3. How would you describe your experience level?

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* 4. How would you rate your comfort level with the following: (1 = no comfort, 5 = very comfortable)

  1 2 3 4 5
Getting on and off a bike
Balancing while riding forward
Stopping with control
Riding in a straight line
Managing turns
Riding with one hand
Riding on the road

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* 5. What is your motivation for taking this course?

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* 6. What do you hope to learn from this course?

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* 7. Is there anything that we should know about you as a learner, including anything about cycling that causes you worry?

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* 8. Do you have any of the following gear? (Note: We can supply all of these items. This questions is just to ask if you want to use your own gear.)

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* 9. Do you have any questions for us?

Thank you for applying! We will be in touch soon.

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