Richmond Bike Lane Sweepers Volunteer Signup Form
Sign up to volunteer to be a bike lane sweeper!If you are unsure about part of the form, feel free to email bikelanesweeperrichmond@gmail.com
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Preferred method of contact
*
Email
Phone
Other
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Secondary Contact Name (In case you & emergency contact are unresponsive for an extended period of time while you are in possession of the sweeper. Not someone you live with)
First Name
Last Name
Secondary Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a place to lock up the sweeper for several days?
*
Yes, in shed, does not require lifting sweeper
No
Other
Do you have a place where someone could drop off & lock up the sweeper when you aren't home?
*
Yes, back yard, does not require lifting sweeper
Yes, front yard, does not require lifting sweeper
Yes, on street, does not require lifting sweeper
No, I will pickup & drop off
Other
Address you would like sweeper dropped off at. (Optional if you are picking up)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload image location where another sweeper can drop off sweeper outside your home. (Optional if you are picking up)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have a place someone can leave the sweeper safety kit (waterproof backpack) when you aren't home?
*
Yes, large drop box on porch
Yes, back porch
No, I will pickup & drop off
Other
Upload image location where another sweeper can drop off safety kit in waterproof backpack. (Optional if you are picking up)
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Are you comfortable with the above information being shared with other sweepers to assist with sweeper hand offs?
*
Yes
No
Other
Do you know how to do basic bicycle maintenance, like fixing a flat tire?
*
Yes
No
What type of bicycle do you plan on using?
*
Standard Bicycle
Electric Bicycle
Electric Cargo Bicycle
Other
Have you used a bike trailer before?
*
Yes, lots of time
Yes, a few times
No
The sweeper is heavy, are you confident you can get it up any hills you plan on sweeping?
*
Yes
Maybe
No
How often would you like to sweep?
*
Weekly
Monthly
Quarterly
Yearly
Preferred Meeting Day (only when needed)
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred Meeting Time
*
Morning
Afternoon
Evening
Preferred Meeting Location
*
Indoors
Outdoors
Virtual (Zoom etc)
Are you comfortable with the Sweeper having an AirTag tracking device installed on it? ( Just surveying )
*
Yes
No
Are you comfortable with us sharing a GPS map of where the Sweeper has been while it was turned on with the community?
*
Yes
No
Are you comfortable with being the sole owner of the sweeper when it is in your possession, making you personally responsible for how, when, and where you choose the use the sweeper?
*
Yes
No
Are you willing to watch a training video before receiving the sweeper?
*
Yes
No
Upload an image of the area you are thinking about sweeping. ( Screenshot a Map on your phone & draw a rough area. See video below )
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
How to Screenshot a Map & Draw a Circle:
Youtube
Please verify that you are human
*
Submit
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