A. General Information (required) Name Name you prefer to be called Name: Date of Birth: Email: Street Current Address: City State Zip You can be reached at your "current" address until when? Home Phone Cell Phone Phone Number: Best time to call: Occupation Employer Occupation: School Name Field of Study Year Graduating and/or School:     B. Additional Information (recommended) Yes/No Where? Are you registered to vote in the U.S.? Who are your U.S. Senators? U.S. Representative? Unsure? Find out who your Senators and Representative are with just your zip code. (and how they voted!) Please indicate any languages you speak and your level of proficiency Cycling level: Beginner Intermediate Advanced Route Preference: Cross-Country / $4,000 Fundraising / $200 Application Fee Hawaii Ride / $2,000 Fundraising / $200 Application Fee SF-Mexico border / $1,200 Fundraising / $200 Application Fee 'All EJ on the Bay' / $150 (Call for group pricing.) Please tell us why you want to participate in Bike Aid. How did you first hear about Bike Aid? Alum Personal Friend Global Exchange Website Global Exchange Brochure College Catalog Other