THE GREAT AMERICAN CLEANUP! Results Form

In order to more accurately quantify all your hard work, it is very important that after your event, you fill out this form to the best of your ability. Disregard any sections that do not apply to your cleanup.

Organization Information:

Organization Name

Address

City, State, ZIP

Contact Name

Phone

Fax

Email

Events/Volunteers:

Number of events held

Number of volunteers

Number of total volunteer hours

Number of communities involved in activities (community is defined as people living in a particular neighborhood, district, city, county, or parish having the common interest in and being impacted by the program)

Cleanups:

Pounds of litter and debris collected (1 bag = 10 lbs)

Miles of streets, roads, and highways cleaned

Miles alongside of railroad tracks cleaned

Acres of parks cleaned

Miles of hiking/biking/nature trails cleaned

Number of playgrounds/community recreation areas built, cleaned, and/or restored

Miles of rivers, lakes, shorelines cleaned

Number of underwater cleanups conducted

Number of acres of wetlands restored

Number of illegal dump sites cleaned

Number of junk cars removed

Reduce, Reuse, Recycle:

Pounds of clothing collected for reuse

Bags/pounds of CRV beverage containers (indicate which)

Bags/pounds of aluminum (indicate which)

Bags/pounds of glass bottles (indicate which)

Bags/pounds of plastic bottles (indicate which)

Bags/pounds of steel and other nonporous containers (indicate which)

Bags/pounds of newspaper (indicate which)

Number/pounds of tires (1 tire = 24 lbs) (indicate which)

Number/pounds of batteries (indicate which)

Number/pounds of ewaste (indicate which)

Number of cell phones, batteries, and/or accessories

Beautification:

Number of trees planted

Numbers of flowers/bulbs planted

Number of flower seed packets planted

Number of homes built, renovated, painted

Number of community/commercial buildings built, renovated, painted

Number of graffiti sites abated

Square feet of graffiti abated

Education:

Number of educational workshops held

Number of attendees at workshops