Volunteer Coordinator - Site Registration Form

Dear Potential Site Coordinator,

If your neighborhood has a creek, river, or lake that is plagued by litter, we encourage you to be a Site-Coordinator for that location at our next event: National River Cleanup Day on Saturday, May 21, 2016 from 9 am to noon.

The Creek Connections Action Group (CCAG) is a partnership of the City of Palo Alto, City of San José Departments of Environmental Services and Parks, Recreation and Neighborhood Services, City of Milpitas, City of Cupertino, City of Santa Clara, City of Sunnyvale, Santa Clara County Parks and Recreation, Santa Clara Valley Water District, and various other stakeholder groups. We have sponsored and organized over 35 creek cleanup events including the annual National River Cleanup and California Coastal Cleanup Days since our inception in 1996. To date, we have worked with over 20,000 volunteers who have removed over a quarter million pounds of trash around Santa Clara County.

As a site coordinator you will be responsible for volunteer recruitment (we will help with that), volunteer sign-in, review of safety tips, set-up and data reporting at your site on the cleanup day (CCAG will train you). The CCAG will also provide you with cleanup supplies for participating volunteers and will also provide a web site (www.cleanacreek.org), publicity materials to assist in providing information and recruitment and registration of volunteers for your site. 

Here is how you can get started:

Step 1:
Choose an accessible creek/river or lake site that is in need of a cleanup within Santa Clara County. Many coordinators choose parks or trails that have good creek access, public visibility and minimal vegetation. Please avoid areas with difficult terrain or dangerous litter. Please check your site’s condition before signing up (if you need site suggestions, please click here for a list of available sites).
 
Step 2:
Arrange for one or two people to serve as Site Coordinators for the day of the event. The site coordinator(s) must participate in our training meeting/supply pick-up session on Thursday, May 12, 2016, from 12:30 to 2 p.m.  Food will be provided!
 
Complete this registration form by Monday, February 29, 2016.

Participation in this event is a great way to work with residents to protect and care for our local waterways and environment.

If you have any questions or need site suggestions, please send an e-mail to volunteer@valleywater.org.

We look forward to working with you!

- Ricardo Barajas
  Creek Connections Action Group, Chair
  (408) 630-2239
  volunteer@valleywater.org
SITE COORDINATOR CONTACT INFORMATION

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* 1. First name:

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* 2. Last name:

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* 3. If you are representing an agency, what agency (i.e. City of San José, Santa Clara County Parks, etc.)?

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* 4. Address:

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* 5. City:

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* 6. Zip Code:

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* 7. Phone Number:

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* 8. Cell Phone:

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* 9. Email:

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* 10. Website (if applicable):

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* 11. Would you like to have your cleanup site listed on our website, www.cleanacreek.org?

CLEANUP SITE INFORMATION

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* 12. Name of creek, river, or lake (click here for some suggestions):

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* 13. Closest street address to cleanup site (i.e. 2456 Creekside Rd. Palo Alto, CA ):

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* 14. What city/town is the cleanup site in? (i.e. San Jose, Cupertino, Santa Clara, Palo Alto, etc.):

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* 15. Starting and end points of cleanup (i.e. list cross street or landmark):

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* 16. Is the site you are registering today your Adopt-A-Creek cleanup site (Adopt-A-Creek Program has already issued you a permit for this location)?

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* 17. Volunteer meeting area (i.e. Meet at bridge; Meet at south entrance, etc.):

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* 18. Number of volunteers needed:

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* 19. Is parking available onsite?

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* 20. Condition of cleanup site:

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* 21. Is this site appropriate for participants under 16 years of age?

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* 22. Other information about this site (including level of litter, safety concerns, etc.):

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* 23. Will you need assistance in disposing of collected trash after the event?

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* 24. If you answered "Yes" on Question 22, where will the collected trash be left at (i.e. On the corner of X and Y; By the bridge, etc.)?

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* 25. Would you like to register volunteers via EventBrite?

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* 26. Is this cleanup site for your group only (i.e. Boy Scouts; Girl Scouts, Church group, etc.)?

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* 27. What personal contact information would you like to list on the website (www.cleanacreek.org) to connect with potential volunteers:

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* 28. Do you have any other comments, questions, or concerns?

Thank you for taking the time to fill out this site coordinator form for National River Cleanup Day on Saturday, May 21, 2016. You will receive a confirmation email once your site has been verified and approved.

Please note that if the property you intend to clean is private property, you will need to obtain permission from the property owners. We cannot grant permission nor should this form imply that we grant permission to access private property.

If you have any questions, feel free to email volunteer@valleywater.org or call (408) 630-2239. Thanks again for your participation and help in keeping our waterways litter-free.

T