Business Recycling Incentive Program Eligibility Questionnaire

FUNDING REQUEST

Fill out the questionnaire below to request funding assistance to start or improve recycling at your business or organization.

Question Title

* 1. What is your organization interested in? (Check all that apply)

Start recycling

Start organics recycling (food waste, paper towels)

Improve existing recycling

Reduce or prevent waste

Question Title

* 2. Which best categorizes your organization?

Commercial business

Non-profit or other organization

Other (please specify)

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* 3. Which best describes your organization?

Accommodation and Food Service (Restaurant, Bar, Hotel)

Arts, Entertainment and Recreation (Theater, Fitness Center)

Finance and Insurance (Bank, Insurance, Broker)

Health Care and Social Assistance (Clinic, Hospital, Nursing Home, Assisted Living)

Information (Telecommunications, Publishing)

Retail (Grocery, Convenience, Clothing, Sports, Personal Care Store)

Real Estate (Property Management, Multi-Unit Housing)

Other (please specify)

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* 4. Are you in control of your trash/recycling hauler contract?

Yes

Don't know

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* 5. Do you have at least a four cubic-yard dumpster of trash?

Yes

Don't know

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* 6. Provide your company's information:

Company Name:

Location:

Question Title

* 7. Provide your contact information:

First Name:

Last Name:

Email:

Phone:

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* 8. Where did you hear about Dakota County commercial recycling funding assistance?

Dakota County (website, letter, newsletter, etc.)

City (website, letter, newsletter, etc.)

Hauler

Another business or organization

Chamber of Commerce

Trade Association

Other (please specify)