Illini 4000 2018 Bike America Team Application
You may want to type up your answers in a separate document to avoid losing your work. Please Contact contactus@illini4000.org with any questions.
Name
Your answer
Primary Email Address
Must be an illinois.edu or gmail.com address
Your answer
Primary Phone Number
Please use this format: (xxx) xxx-xxxx
Your answer
What is your current address?
Street Address, Town, State, and Zip
Your answer
What is your hometown?
City and State if you're from the US, City and Country otherwise
Your answer
Year in School
What college do you attend?
LAS, Engineering, Business, etc. if you are a student of UIUC; university name otherwise
Your answer
Birthdate
mm/dd/yyyy
Your answer
Gender
Which languages do you speak?
For the purpose of assisting ride leaders in communicating with emergency contacts
Your answer
From whom or where did you first hear about the Illini 4000?
Your answer
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