Apply for Mini Grant

Date of Application *

Organization Name*
Please list exact legal name to which the grant would be paid

Service requested through grant*
Deeper Statistical Tracking of Commute BehaviorCustom Commute Campaign Design (e.g. Bike Month, Ozone Awareness Week)Bicycle Friendly Business/University CertificationExclusive Event Sponsorship (e.g. Lunch and Learn, Commuter Challenge)Other (specify below)

Purpose of Grant *

Address of organization *

Contact Name*

Contact Title*

Contact Phone Number*

Email *

Estimated Grant Total *

Dates covered by this grant*
Start End