Cleanup Productivity Report : Environment : Keep Charlotte Beautiful, Inc.

Organization / Community Group

Date of Event

Month

Day

Year

Contact Person

First Name *

Last Name *

Phone Number

Email Address

Number of Volunteers

Number of Hours Project Took To Complete

Number of Bags of Litter Collected

Number of Bags of Recyclables Collected

Number of Large Items Collected (Appliances, Tires, Etc.)

Number of Flowers or Shrubs Planted

Number of Trees Planted

Number of Bags of Mulch

Approximate Number of Miles of Cleanup

Please Check All That Apply:

hcgsdervfq9x

Description of Project & Location

Location of Large Items Left for Pickup

Upload Signed Waiver

No file selected

Click or drag here to add files

Cleanup Productivity Report