Youth Litter Cleanup Report

Youth Litter Cleanup Report

Thank you for leading a youth litter cleanup! Below, please complete our brief report so we can celebrate your amazing work.
Name*

First NameLast Name
Email*
example@example.com
What is your role in your school community? (Check all that apply)*

TeacherAdministratorAfterschool EducatorSchool District RepresentativeSustainability CoordinatorPTA MemberYouthOther
What is your school’s/program’s name?*
What is your school’s/program’s address?*
Borough:*

BronxBrooklynManhattanQueensStaten Island
Date of the litter cleanup*

MonthDayYear
Date
How many pounds of litter did you collect?*
How many pounds of recycling did you collect (not required)
What grade(s) participated in the litter cleanup? (Check all that apply)*

2nd3rd4th5th6th7th8th9th10th11th12th
How many students participated in the litter cleanup?*
Did you receive any support from the Sanitation Foundation?*

Yes, the Sanitation Foundation provided a mini-grant including a facilitated litter cleanup and supplies for future cleanups.Yes, the Sanitation Foundation provided cleanup supplies.Yes, I used the Sanitation Foundation's Litter Cleanup Educator Resources to plan and lead the cleanup.No, I did not recieve any support from the Sanitation Foundation.Other
After the litter cleanup, did students discuss follow-up actions or projects to reduce litter in their community?*

YesNo
Please list or describe follow-up actions taken by youth to reduce litter.*
Please upload any photos from the litter cleanup that you would like to share.

Cancelof
Do we have permission to feature these photos in our NYC Educator Newsletter?*

YesNo
Is there anything else you would like to share about the litter cleanup?
Should be Empty: