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Part 5: Additional Questions for Safe Routes to School Program projects <br />(Complete this section, only if applying for Safe Routes to School Program funding.) <br />Children Served <br />School(s) Name: <br />Number of children that live within one mile of the school(s) that would be served by the project <br />Number of children that get to the school(s) by: Walking Biking School Bus Family Vehicle Other <br />Date and method of data collection: <br />Equity information <br />What percentage of children that attend the priority school(s) are: <br />Eligible to receive free and reduced -price meals <br />Racial/ethnic minorities <br />See the OSPI State Report Card searchable website for this information. <br />Part 6: Additional Question for Multi -jurisdictional projects <br />If the project involves roadways/lands owned or managed by multiple public agencies, please list additional jurisdictions below <br />and provide supporting documentation demonstrating project concurrence. If the project is on a state route include WSDOT <br />Region Administrator concurrence. <br />Concurrence for this project: <br />Other name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />Date <br />Other name: <br />Title: <br />Address: <br />Phone: <br />Email: <br />Date <br />Repeat as needed for additional concurrence. <br />2018 Pedestrian and Bicycle and Safe Routes to School Application for Funding Page 4 of 4 <br />32 <br />