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2024 APPLICATION

First Name:

Last Name:

Gender Identity:

Gender Pronouns:

Birth Date:

Email:

Phone:

Address: Apt

City:

Zip:

School (if applicable):

Ethnicity:

Race:

Height:

T-shirt size:

Please answer the following questions in 2 or 3 sentences:

Why do you want to become a member of Fearless Flyers? How did you first hear about this program?

When was the last time you rode a bicycle? How would you describe your cycling experience?

What are some of your weaknesses and strengths when working in a team dynamic?

How would you like to be supported during rides? What can help you feel comfortable physically, emotionally, and mentally?

Why is it important for an LGBTQIA+ cycling team to exist?

Are you available Saturday mornings and additional weekends?

Do you have any allergies or health conditions we should be aware of?

Please check additional resources you would want to connect with:

Education:

High School

GED

College

Work:

Resume Building

Job Search

Interview Support

Medical:

HIV/STD Testing

SNAP Benefits

Health Insurance

Wellness:

Self Care Groups

Housing Support

Community Events

I understand and accept all terms and conditions of the OutCycling waiver.

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