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BikeUCI Ambassador Program
1.
Please enter your contact information below.
(Required.)
Full Name
UCI Email Address
Zip Code
2.
Please specify your race/ethnicity.
White or Caucasian
Hispanic or Latino
Black or African American
Asian or Asian American
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
Two or more races
Other (please specify)
3.
Please share your preferred pronouns.
He/Him/His
She/Her/Hers
They/Them/Theirs
Alternative option (please specify)
4.
Please specify your gender identity.
Female
Gender non-conforming
Genderqueer
Male
Transgender
Different identity
5.
Please select your affiliation with UCI.
Faculty
Staff
Undergraduate
Graduate
Alumni
Community Member
Graduation Year (Optional)
6.
How long have you been affiliated with UCI?
0-4 years
5-9 years
10-19 years
20+ years
7.
What type of riding do you do? (Select all that apply.)
(Required.)
Mountain
Road
Commuting
Cyclocross
Touring
BMX
Other (please specify)
8.
On average, how many hours per week do you currently ride?
9.
Do you currently use a bicycle for transportation? If yes, explain how.
10.
Have you participated in any BikeUCI events/programs?
(Required.)
uciRIDEtoberfest
WhimCycle
Smart Cycling (In Class Only)
Smart Cycling (Received Certificate)
League Cycling Instructor Seminar (Certification)
Bike Light Giveaway
Helmet Giveaway
Maintenance Workshops
Campus Safety Demonstrations (repair stands, helmet fits, detection loop, etc.)
Other (please specify)
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.
(Required.)
12.
How would you inspire someone to start biking?
(Required.)
13.
Please use the text box below to tell us anything else you'd like us to know about yourself.
14.
Do you want a sweet BikeUCI Ambassador shirt? What is your shirt size?
XS
S
M
L
XL
XXL
XXXL
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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