Sign up for SLCF Bike Loan Appointment
Sign in to Google to save your progress. Learn more
Please Read This First
Thank you for your interest in our free bike loan program for international students and scholars.  

We also offer English classes, cultural trips, special events, and opportunities to learn about the history of Christianity and its meaning.  SLCF International is a service of Kossuth Street Baptist Church (www.ksbc.net) in Lafayette. If you are interested in coming to our church, we are happy to give you a ride.  We meet Sunday mornings at 9:15am.

After registering, we will contact you by e-mail to set up an appointment for you to come and look at our selection of bikes.  Please note:  We have a limited number of bikes, and they will be loaned out based on availability.

You will need to come to Crosswalk Commons on the northwest side of campus to fill out the paperwork and look at our selection of bikes.  We'll send a link to a map when we e-mail you with appointment information.  You'll need to have $50 or $100 for the bike deposit, and $15 or $20 for the bike lock, unless you have your own lock.  Optionally, you can also buy a helmet for $20, and a bike light and air pump for $10 each. These accessories are for purchase rather than loan. We accept cash, credit card, and PayPal payments.  For credit card payments, there is a 5% convenience fee.

By registering, you give us permission to contact you by e-mail to set up an appointment, and contact you about other events sponsored by SLCF International. You can remove yourself from our e-mail list at any time. (We will not give your information to any other organization.)
First or Given Name *
Last or Family Name *
Phone number
If you do not have a phone number yet, leave this blank.  If you do have a phone number enter your number in this format xxx-xxx-xxxx
E-mail *
Gender *
Purdue Status *
What Country Are You From? *
Are you interested in a $50-deposit or $100-deposit bike? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of SLCF International.