Street Collective Bike Share Scholarship Form
Our bike share scholarship program is designed to give low-income individuals access to active transportation and recreation options. All applicants need the sponsorship of a local nonprofit or charity.

To be considered for a free annual membership please complete the following application:

Persons interested in applying for more than one person per application, please email
Sign in to Google to save your progress. Learn more
Recipient Name *
Recipient Email *
Recipient Phone *
Sponsor Name *
Sponsor Email *
Sponsor Phone *
Sponsor Organization *
Organization Email *
Please briefly describe why the recipient should be awarded an annual bike share membership *
Please answer the following: *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy