Litter Reduction
Community Improvement
Community Pride Trailer
Greenprint
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Community Pride Trailer Application Form
* = required
Community Pride Trailer Application
* Designated Project Coordinator
* Phone
(Daytime)
Phone
(Evening)
Phone
(Cell)
* Coordinator Address
* E-Mail
Drivers License Number or State ID Card
* Cleanup Location
(i.e. Address or corner of Market)
Volunteer Organization Name
(if applicable)
* Drop Off Location
* Date of Requested Cleanup Project
(mm/dd/yyyy)
* Pick Up
(mm/dd/yyyy)
* Cleanup Project Description:
* Estimated # of volunteers
I, as the designated Project Coordinator (PC) agree to the following:
As PC, I will work with Keep Akron Beautiful, (KAB) and any local authority to determine a proper parking location for the trailer and will meet with a KAB staff member at that location when the trailer is delivered and picked up.
I will ensure all participants using the equipment from the trailer are at least 18 years old and have completed all Waivers.
I will confirm the equipment inventory prior to receipt of the trailer and upon return of the trailer with KAB staff.
I will distribute supplies to participants and ensure all equipment is operated safely. I will retrieve the supplies once participants have completed the project.
I will properly secure the trailer and its contents.
I will replace any item missing or not returned in the condition they were received (normal wear and tear excluded).
I will ensure the trailer is free of trash and debris upon return.
I will complete and submit the Cleanup Summary Report to KAB.
* I agree
I agree
* Date
(mm/dd/yyyy)
Security Check
Please leave this field incomplete