Safe Routes to School Launch Program - Interest Form
Name *
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Email address *
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Community location *
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How did you hear about the Safe Routes to School Launch Program?
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To your knowledge, which of the following is in place in your community? (Check all that apply)
What are your main goals for your community’s participation in the Safe Routes to School Launch Program?
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For community-based organizations or schools/school districts: Have you worked with your local government agencies on Safe Routes to School, pedestrian, and/or bicycle safety issues before? If yes, provide name(s) and contact information:
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For government agencies: Have you worked with your local community-based organizations or school(s)/school district(s) on Safe Routes to School, pedestrian, and/or bicycle safety issues before? If yes, provide name(s) and contact information:
Your answer
Are there stakeholders you would like to participate in the Planning Committee for the workshop? If yes, provide name(s) and contact information:
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During which months can you host the Safe Routes to School Launch Program workshop? (Check all that apply)
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