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2017 Minnesota Bikeable Community Workshop <br />Community/Regional Training Opportunity <br />Please complete the following questions and submit your application on the Goole Form by January 9th, <br />2017. <br />By submitting this form you are expressing interest that as a host you will help coordinate with the Minnesota <br />Departments of Health and Transportation and Bicycle Alliance of Minnesota; assist in locating a suitable <br />facility for the workshop; are willing to provide/coordinate lunches or snacks; and are willing to provide <br />bicycles to participants as needed. Hosts are also key in identifying and inviting the right stakeholders to the <br />workshop, and may be identified as a follow-up contact. <br />NOTE: Completion of this form does not guarantee your community will be selected to host a workshop. <br />BikeMN, MDH, and MnDOT reserve the right to select communities based on identified needs, engagement, <br />and geographic distribution. <br />Communitv: <br />— -- <br />Applicant / Contact Person <br />-— ....... — ...... <br />Co -Sponsor (City/Township/ <br />— -- ------ <br />County Official)" <br />Name/Title: <br />�_ <br />Name/Title: <br />Affiliation: <br />Affiliation: <br />Address: <br />Phone: <br />I Email: <br />Address: <br />Phone: <br />Email: <br />_ <br />_ <br />"Required if applicant is not affiliated with a City, Township or County unit of government. <br />• Explain how your community would benefit from a Bikeable Community Workshop? <br />• Explain any experience your community has with planning, policies, ordinances, and implementing <br />active transportation projects, including but not limited to, complete streets, non -motorized <br />infrastructure, and safe routes to school: <br />• Explain how your community plans to act on possible recommendations from the workshop with the <br />goal of increasing bicycling and walking? <br />+ Tell us about your diverse partners and stakeholders that will be attending the workshop. One <br />participant must be an engineer. All attendees are expected to participate in the mobile workshop. <br />(The best answers will include names, titles, and contacts for stakeholders who have been contacted <br />about the BCW and agreed to attend if available.) <br />• Describe inequities around active living and active transportation that affect your community and how <br />you have been addressing them. What challenges are you encountering? <br />