Village of Glencoe - Lead Monitoring Program

December 2, 2024 update: The Village has received a fantastic response from our residents for this program. Thank you so much! We have identified the 40 volunteers, but we are still accepting registrations. If you do submit your name for the program, you will be put on a waiting list for future consideration. More information will be sent to all volunteers in January 2025 about future steps in the program.

Fill out this form to place your name on the program waiting list. The Village will follow-up with the status of your participation.

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1. Name (Required.)

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2. Address (Required.)

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3. Email Address (Required.)

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4. Phone Number

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5. I would like to participate in the Lead Monitoring Program for the Village of Glencoe. Participants will receive a sampling kit every 6 months to collect a drinking water sample and have their sample tested for lead free of charge. (Required.)

Yes

Maybe - Include me in the email distributions for future considerations

Village of Glencoe - Lead Monitoring Program

Question Title

* 1. Name (Required.)

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* 2. Address (Required.)

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* 3. Email Address (Required.)

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* 4. Phone Number

Question Title

* 5. I would like to participate in the Lead Monitoring Program for the Village of Glencoe. Participants will receive a sampling kit every 6 months to collect a drinking water sample and have their sample tested for lead free of charge. (Required.)

1. Name (Required.)

2. Address (Required.)

3. Email Address (Required.)

4. Phone Number

5. I would like to participate in the Lead Monitoring Program for the Village of Glencoe. Participants will receive a sampling kit every 6 months to collect a drinking water sample and have their sample tested for lead free of charge. (Required.)