Love Your Block Reporting Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization/Group Name
Project Type
*
Community Connections
River Connections
Safety Connections
Project Information
What was the name of your event or project?
*
What was the location of your event or project?
*
What was the timeline for your event or project?
*
Please be as specific as possible. If it is a one-day event, please include the date.
How many neighbors were involved in the planning process?
How many people participated in your project or attended your event?
This should include volunteers, vendors, and attendees.
Please list any partnering organizations or groups.
This should include sponsors, vendors, or co-organizers.
How do you think your project benefited your community?
This can be about data, such as “we distributed 150 pairs of gloves.” Or about feelings, such as “my neighbor said she was glad to get to know her neighbors better.”
Was this a neighborhood clean-up?
*
Yes
No
How many bags of trash did you collect?
How many bags of yard waste (weeds, dead plants, etc.) did you collect?
Please upload before image(s) of the project location.
Browse Files
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of
Please upload image(s) of the event or project when completed.
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Submit
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