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1. Please enter your contact information below.

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2. Please specify your race/ethnicity.

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3. Please share your preferred pronouns.

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4. Please specify your gender identity.

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5. Please select your affiliation with UCI.

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6. How long have you been affiliated with UCI?

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7. What type of riding do you do? (Select all that apply.)

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8. On average, how many hours per week do you currently ride?

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9. Do you currently use a bicycle for transportation? If yes, explain how.

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10. Have you participated in any BikeUCI events/programs?

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11. In 250 words or less, tell us why you would be a great BikeUCI Ambassador. Information from this section may be used to highlight you as an Ambassador.

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12. How would you inspire someone to start biking?

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13. Please use the text box below to tell us anything else you'd like us to know about yourself.

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14. Do you want a sweet BikeUCI Ambassador shirt?  What is your shirt size?

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15. Please upload a photo of you and your bike. The photo will be used in various marketing materials including websites, advertisements, flyers, etc. to promote BikeUCI Ambassadors.

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