Form Center

2. First Name:
3. Last Name:
5. Email Address:
7. Event/Project Name:
8. Event/Project Date:
   Event/Project Date:
10. # Hours Worked (Prep + Direct Outreach)
11. Description of Event/Project:
13. # of people you connected with or impacted during your event/project. (estimates are acceptable)
15. What topic(s) did you cover? Mark all that apply.

    1. Curbside recycling
    2. Organics recycling/composting
    3. Business recycling and/or organics
    4. Reuse
    5. Waste reduction
17. Topic not listed? Please specify:
19. What activity did you do? Mark all that apply.

    1. Tabling
    2. Presentation
    3. Organizing/Planning/Hosting an event
    4. Contamination monitor
20. Click here to upload any photos you may have taken at the event.
22. Activity not listed? Please specify:
24. Suggestions/observation/advise you would like to share about your experience?
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field