Free Bike Program Application

Online Application

  • In addition to completing this online application, a letter of reference explaining how you will benefit from receiving a bicycle will need to be e-mailed, mailed, or dropped-off to Urban Bike Project. An application will not be considered complete until we have this letter of reference.

    Please go to the Free Bike Program page if you would like to print, mail, or drop-off your application, instead of using this online application form. A sample letter of reference can also be found on that page.

  • APPLICANTS MUST LIVE IN WILMINGTON, DE AND SURROUNDING COMMUNITIES. See full eligibility requirements on the Free Bike Program page.

    *Fields marked with an asterisk are required.
  • Personal Information

  • Contact Information

  • Who should we contact when the bike is ready to be picked up? We need a phone number or email address or both.
  • General Information

  • Urban Bike Project will provide the following accessories with the bicycle, unless requested otherwise or lack of resources: • Lights (legally required at night in Wilmington) • Lock • Helmet