Community Cleanup: Post Event Report
Please complete this brief survey for every cleanup you host, within 2 weeks of the event date.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Name of Group / Organization
*
Cleanup Event Details
Event Date
*
-
Month
-
Day
Year
Event Name
Borough of Area Cleaned
*
Bronx
Brooklyn
Manhattan
Staten Island
Queens
Zip Code of Area Cleaned
*
Description of Area Cleaned
*
Please add any additional details about the area cleaned including but not limited to neighborhood, street name(s), number of blocks, location description (residential, businesses/stores, bus stops, adjacent to parks).
Number of Participants
*
Please put the total number of participants of your cleanup. Estimates are fine.
Estimated Time Spent Cleaning
Less than one hour
1-2 hours
2-3 hours
Over 4 hours
Time Spent Cleaning
*
Please put the total number of hours spent cleaning.
How did you get the tools you used for your event? (Please select all that apply.)
*
I used my own tools.
I borrowed tools through the DSNY Tool Loan Program.
I used tools I received through the Sanitation Foundation's Grant Program.
Other
Is this cleanup event a part of Sanitation Foundation's Tool Grant Program?
*
Yes
No, I have already completed my required events.
No, this event does not satisfy the requirements. (Events must be free to attend and open to members of the public regardless of race, gender, religious identity, disability, sexual orientation, or the age of participants.)
Waste & Recycling Data
Number of Bags Collected
*
Did you weigh the bags?
*
Yes
No
Please enter the total weight (lb):
*
Did you sort recycling?
*
Yes
No
How many bags of recycling did you collect?
Did you weigh the bags of recycling?
*
Yes
No
Please enter total weight of recycling (lb):
OPTIONAL: Estimated Size of Cleanup Area (square feet):
Multiply approximate length and width of area to calculate the square footage. You can also use a tool like Google Earth (earth.google.com) to help make an estimate.
Cleanup Event Photos
If you have any event photos you would like to share, please upload them here:
Browse Files
Drag and drop files here
Choose a file
Optional
Cancel
of
Are you comfortable with the Sanitation Foundation and NYC Sanitation sharing these photos on their social media accounts?
*
Yes
No
Other
Share your social handle(s) if you would like to be tagged.
*E.g. Instagram, Facebook, LinkedIn
Your Feedback
How would you rank your experience with the DSNY tool loan program?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Do you have any feedback for NYC Sanitation (DSNY) on the tool loan program?
OPTIONAL
We would love to hear about your experience hosting this cleanup event or any other feedback you would like to share with the Sanitation Foundation.
OPTIONAL
Newsletter
Yes, subscribe me to this newsletter.
Monday.com Status
Please Select
Added to Monday
Submit
Should be Empty: