Request Bike/Ped Safety Education
Maine’s Bicycle and Pedestrian Safety Education program is an innovative partnership of the Bicycle Coalition of Maine (BCM) and the Maine Department of Transportation. The program provides:
  • Instruction to all-ages via presentations, hands-on workshops, and experiential riding programs
  • Management of the Maine Safe Routes to School (SRTS) program to encourage students to bike and walk to school
  • Education and information to communities about program, policy, and infrastructure options to improve walking and biking conditions
  • Education to all roadway users about how to safely, legally and courteously share the road
Click here to learn more about all our programming options.

REQUIREMENT: In hosting an instructor we ask that you provide feedback through a post-visit evaluation form, which will be emailed to you following completion of the safety education event. 

We depend on the availability of instructors in your area to provide you with programming and make every effort to fill all requests. Want to teach with us? 

HELMETS: If you need a small amount of helmets then support a local bicycle shop (find your nearest shop). For bulk numbers you can purchase inexpensive online helmets from ProRider Helmets.
Sign in to Google to save your progress. Learn more
Email *
GENERAL INFO
Full Name *
First Last
Email *
Phone Number *
Position *
E.g., Teacher, Nurse, Office Manager
Organization / School *
Street Address *
where event will take place
City *
where event will take place
Zipcode *
where event will take place
County *
where event will take place
EVENT TYPE
Educational Event Type *
Select all that apply.
Required
Define the specific need for this request *
E.g., Students have demonstrated unsafe walking / cycling practices, there has been an accident, dangerous infrastructure exists near the school, encourage more people to ride/walk,   ***Be specific when possible to show why people NEED this safety training***
Estimated Number of Participants (total) *
Due to the interactive nature of the presentations, we strongly recommend that student groups of more than 45 be broken into smaller units of similar age.   If you are considering an assembly-type event, please provide details of your event in the "Additional Info" field below.
Estimated Number of Presentations
Due to the interactive nature of the presentations, we recommend presenting to groups of similar age numbering no more than 45 per presentation (20-30 is optimal, like a class or a scout troop etc.).   Please estimate the number of groups/classrooms of that size needing a presentation.    If you are considering an assembly-type event, please provide details of your event in the "Additional Info" field below.
General Age Groups / Grades *
Specific Age Groups / Grades *
E.g., kindergarten, grades 4-6, adults, all ages, adults, seniors
Are you in need of translation services for event (BCM will try our best to meet this need)
What date(s) and time(s) are available for this event? *
Please provide info on when you need program assistance.  Be as specific as you can.  Note that large groups (eg entire schools) may need multiple visits by program representatives. FINAL SCHEDULING IS DEPENDENT ON INSTRUCTOR AVAILABILITY, but we will make every effort to accommodate your preferred date/time.
Have you hosted a BPSE instructor in the past?
Select Yes or No.  If yes (and if you remember!) include the instructor's name in the "other" field.  
Additional Information
Other info to facilitate your above request or any questions you may have.  
Safe Routes to School (SRTS) Encouragement & Planning Program
The SRTS Program offers technical assistance to help communities host encouragement & incentive activities to get more students walking and biking, work on safety enforcement, explore the Maine Walking School Bus Program, and/or do evaluation of local barriers to safe walking and bicycling and plan for improvements. 
Use this form to get in touch.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy