CLEANUP DAY WRAP-UP FORM Mayor’s Day of Service Litter Cleanup Wrap-Up Form Please only enter information for your entire group if you are the group leader. Otherwise, report your own efforts only. Cleanup Location * Please enter a park name if you cleaned in a park and a waterway name if you cleaned along the riverfront. If you cleaned along a roadway or other location, please enter the address closest to that location. Address of Cleanup * Address of Cleanup Address of Cleanup Address of Cleanup City City State/Province Alabama Alaska Arkansas Arizona California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming State/Province Zip/Postal Zip/Postal Volunteer Name * Volunteer Email Address Enter the same email that you used to create your My Volunteer Page account. Group or Organization If you represent a group or organization, enter the name of the organization. Please enter numbers only, except in the comments. (If a field does not apply, enter "0".) Volunteers* Number of volunteers in your group under the age of 18 Youth Volunteers * Number of volunteers in your group under the age of 18 Volunteer Hours * If you are a group leader, enter all hours for your volunteers. For example, if you had a group of 5 volunteers pick up litter for 2 hours, you would enter "10". Garbage Bags * Number of bags of trash that you or your group picked up Estimated miles of street or roadway cleaned * Count both sides of the road you clean. For example, if you cleaned a half-mile of roadway on both sides of the road, you would enter "1". If you only cleaned one side of the road, you would enter ".5". Estimated miles of trail, alley or waterway cleaned * Count both sides of a river or stream you clean, or count the perimeter of a lake. For example, if you cleaned a half mile of a stream on both sides, you would enter "1". If you only cleaned one side, you would enter ".5". Comments and Suggestions Share your feedback or just let us know how it went! Share Pictures of your cleanup! Drop a file here or click to upload Choose File Maximum upload size: 52.43MB You can upload photos with this form, tag @beautifyfresno on Facebook, Instagram, and Twitter, or email them to us at info@beautifyfresno.org. We love to recognize our volunteers on social media! reCAPTCHA If you are human, leave this field blank. Submit
