Keep Ohio Beautiful Litter Free School Zone Program

Litter Free School Zone

REPORTING FORM
School Name
Name of Contact

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
You are required to complete 2 clean-ups per school year. Which clean-up is this?
Which Cleanup?

Cleanup #1Cleanup #2
Date of the Cleanup
# of Students
Hours Spent Cleaning Up
Total Volunteer Hours
Multiply #Students and # Hours to get Total Volunteer Hours
# of Items Collected
# of Recyclables
Estimate # of Full Trash Bags
Any Other Observations?
If there are any photos that you would like to include please upload them below.
File Upload

Cancelof
Should be Empty: