Thank you for your interest in being a Bicycle Friendly Business! We look forward to learning more about you and your organization as we work together to create a bicycle friendly community in Shasta County.

Please share what your business or organization does to support and encourage more people to bicycle more often. We know that each business and location is unique and we don't expect any business to do all the things on the lists below. We hope the lists will spark ideas you might want to consider in the future.

The Bicycle Friendly Business award will consider both how you support employees bicycling (about 75%) and how you support customers or the broader community bicycling (about 25%).

* 1. Business / Organization Name:

* 2. Contact Person's Name:

* 3. Contact's email address:

* 4. Contact's phone number:

* 5. Which category best describes your organization?

* 6. YOUR EMPLOYEES: What does your workplace offer to make it easy, inviting, or convenient for employees to commute by bicycle? (check all that apply)

* 7. How many employees do you have in Shasta County?

* 8. YOUR CUSTOMERS: What does your business or organization do to support customers who may travel by bicycle? (select all that apply)

* 9. YOUR COMMUNITY: How does your business support a bicycle friendly community (beyond your employees or customer base)? (select all that apply)

* 10. Does your worksite participate in the annual Shasta Bike Challenge?

* 11. YOUR VISION: Please explain why your business or organization should be considered for a Bicycle Friendly Business Award. Include strategies you use to encourage more people to bicycle more often (if not already covered):

* 12. If you have samples of organizational policies, promotional materials, photos or other documentation demonstrating your organization's bicycle friendliness, please include internet links below or email attachments to bike@healthyshasta.org

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