Illini 4000 2019 Bike America Team Application
You may want to type up your answers in a separate document to avoid losing your work. Please Contact
with any questions.
Primary Email Address
Must be an
Primary Phone Number
Please use this format: (xxx) xxx-xxxx
What is your current address?
Street Address, Town, State, and Zip
What is your hometown?
City and State if you're from the US, City and Country otherwise
Year in School
What college do you attend?
LAS, Engineering, Business, etc. if you are a student of UIUC; university name otherwise
Prefer not to disclose
Which languages do you speak?
For the purpose of assisting ride leaders in communicating with emergency contacts
From whom or where did you first hear about the Illini 4000?
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