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E-Bike Voucher Program Interest Form

Before applying this program, ensure you have access to necessary documents for age and income verification to prove qualification.

This information will not be shared outside the organization or used for any other purpose other than ensuring voucher qualification.

Do you have the required documents for the application, such as a Driver's License or recent Tax Forms? You must have copies of these documents available to upload during the application process.
Yes, I have the required documents on hand and ready to upload.
No, I do not have the required documents.

Other acceptable documents for verifying age and income qualifications may also be used. Please refer to the provided list for additional options and confirm your readiness.

Please Select: Method of Application
Attending San Leandro 2050 Application Workshop
Applying on my own
When would you most likely attend the Application Workshops?
Which method will you be joining our Application Workshops?
In Person
Online

Click this Link to read the Application Question.


After filling out the required fields, please submit the form!

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