WBF Ambassador Kit - Application MOVED FROM webteam.dot@state.mn.us

Please let us know how we can help you teach children safe bicycling and walking skills by filling out the form below. In order to serve you best, please be as complete and as detailed as possible.

We will fulfill as many requests as possible. Requests will be prioritized based on the Walk! Bike! Fun! Technical Assistance criteria and funding for Ambassador Kits and training provided by the Minnesota Department of Transportation Safe Routes to School program.

WBF Ambassador Kit - Application

Name

First Name

Last Name

Email

Phone

Address

(for shipping)

City

Zip Code*

County

School/Organization

Has your school or community completed and approved a Safe Routes To School plan?

Yes No

Have you and/or others completed the WBF Ambassadors training?

Yes No

If yes, how many?

If yes, have you had a chance to implement?*

If no, are you interested in attending?

If no, are you interested in hosting?

What type of activity are you planning?

Walk Bike Rodeo WBF Group Presentation Walking School Bus Bike Train Bus Stop & Walk Activity

Other:

How frequently will you be organizing this activity?

Daily Weekly Monthly Annually

Other:

What is the expected number of participants for the activity?

What is the expected number of volunteers for the activity?

What is the strategy for recruiting the needed number of volunteers?

Do you have any organizational partners for this activity? (E.g., law enforcement, healthcare provider, community event, etc.)

Yes No

If yes, which partners?

Which of the following supports would make SRTS more successful in your community?

Access to bikes/equipment Adequate infrastructure (e.g. crosswalks, sidewalks, trails, signage, etc.) Support from administrators Support from city officials Support from school community (students and parents)