This form will track your progress through the SRTS Mecklenburg County Partnership Program.
  1. Fill out this form with your school's current activities related to walking or rolling to school.
  2. Email Laura.Thomason@MeckNC.gov to ensure your progress is measured.
  3. Return to this form when you have updates to your school's activities.
Below you'll be asked to simply check all activities and intiatives  that apply to your school. Laura Thomason will reach out via email to let you know your partnership status shortly. Thank you for your interest in joining or advancing your partnership level. We're glad to have you as a partner!

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* 1. School Name

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* 2. Address

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* 3. School Contact Name

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* 4. School Contact Email

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* 5. School Contact Phone Number

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* 6. Current Partnership Level

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* 7. Bronze Activities - Check all that apply

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* 8. Silver Activities - Check all that apply

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* 9. Gold Activities - Check all that apply

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* 10. Platinum Activities - Check all that apply

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* 11. Do you know about how many students currently walk or bike to school each day at your school?

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