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Clean Up Request Survey
Fill out this page to inform CRWC of your requested clean up.
*
1.
Are you 18 or older?
(Required.)
Yes
No
*
2.
Would you like to join an existing clean up, or create your own?
*If requesting to join please skip ahead to contact info, and leave us a note indicating request.
(Required.)
Join existing clean up
Create my own
*
3.
Requested dates of clean up. Please list three options to allow for supply availability
(Required.)
1.
2.
3.
*
4.
What time does your clean up start? (For example, 10am-12pm with two hours being the standard time frame)
(Required.)
*
5.
Supplies needed
(Required.)
Garbage Bags
Gloves
Grabbers
*
6.
Preferred locations, or area for clean up.
(Location will be picked depending on condition, and recent clean up status)
(Required.)
1.
2.
3.
*
7.
Number of volunteers
(Required.)
<10
10-20
20-30
>30
*
8.
Will this clean up be with a group, if so what is the name of the group?
Example: Work, scout, school, or church group?
(Required.)
Yes
No
Name of group if applicable
*
9.
Would you like your event shared with the public, or kept private to your group only?
(Required.)
Yes, please share this event with CRWC's members and social media follwers
No thank you, please keep this event private.
*
10.
Are you able to pick up and drop off clean up supplies?
(Required.)
Yes
No
*
11.
Have you volunteered with us before?
If so, what event did you participate in?
(Required.)
*
12.
Coordinator contact information.
(Required.)
Name
Phone Number
Email
13.
Notes
