MovePortage Bike Friendly Business Application Question Title * 1. Contact Name Question Title * 2. Business Name (if different from above) Question Title * 3. Business Address Question Title * 4. Primary Phone Number Question Title * 5. Email Address Question Title * 6. How many employees do you have? Question Title * 7. How many full time equivalent positions? Question Title * 8. How many years as the business been in operation? Question Title * 9. Type of business? (Select one) Retail Manufacturing Restaurant Service provider Non-profit organization Other (please specify) Question Title * 10. Do you offer secure, dedicated bike parking for guests/customers? (Select one) Yes No (If no, hit next at the bottom of the page to proceed to question 14) Question Title * 11. Describe the dedicated bike parking. (Check all that apply) Outdoor racks Indoor racks or designated bike storage room Secured area | e.g. keycard access, video monitored, etc. Bicycle lockers Covered/sheltered outdoor bike racks Uncovered outdoor bike rack Bikes are also allowed inside business common area Specialty bikes accommodated | e.g. cargo bikes, trailers, recumbents, trikes etc. Charging facilities for electric assist bicycles None of the above Question Title * 12. Approximately how many bicycles can be accommodated by the dedicated bike parking? (Select one) 1-5 6-10 11 or more Question Title * 13. Does the majority (more than 50%) of the bike parking meet the following standards for quality, security, and convenience? (Check all that apply) Supports the bicycle in at least two places to prevent it from falling over Allows locking of frame and at least one wheel with a U-lock Is securely anchored to the ground or wall Resists cutting, rusting, bending, or deformation Is visible from main entrance of business Is well-lit at night None of the above Next