Fire Relief Bicycle Replacement Application

The bicycle replacement program, made possible by SRJC and the Bear Cub Bike Club, is for students who lost their bicycles in the recent wildfires in Sonoma County and the surrounding areas. Students who lost their bicycles and are enrolled at SRJC during Fall 2017 are invited to apply by filling out and submitting this form.

Click here for a paper application, or for help contact the Student Affairs Office at (707) 527-4424.

Award: A new or refurbished bicycle from one of our partnering organizations: NorCal Bikes, Community Bikes and Bike Monkey.

Selection and Notification: Once applications are submitted, they will be screened and processed by the SRJC Student Affairs Office on a case-by-case basis. Once approved, you will be notified by email about the award and how to pick up your bike.

APPLICANT CERTIFICATION 

By checking the boxes below and pressing "Submit" I certify the following and sign with today's date and time:

***Applicants are screened and approved on a case-by-case basis (due to the limited supply, we cannot approve all who ask for assistance). Students not selected will be notified, but their applications will be kept and reviewed as additional resources are made available.***