Complete the below form by June 8th, 2018 to be entered in the Great American Cleanup- Gwinnett Challenge! Contact InformationProject Leader Name* First Last Organization/ Group Name*Address* Street Address Address Line 2 City ZIP / Postal Code PhoneEmail* ResultsDescribe the impact of your project below, or attach additional files if needed. Project Category (pick one)*Litter LeagueGroom and BloomDial-a-DumpsterStudents Serving SeniorsProject Date Date Format: MM slash DD slash YYYY Project LocationProject Description*Describe the work that was completed and the feedback you received from your volunteers and the members of the community. # of Volunteers*This includes anyone donating their time to work on this project.# of Volunteer Hours*This includes the total number of hours volunteered per person (example: 5 volunteers work for 2 hours = 10 Volunteer Hours)# of Bags of Litter Collected# of Miles of Road/Stream Cleaned# of Trees/ Flowers Planted# of Bags of Yard Debris CleanedUpload PhotosShow us your impactful work! Please upload 1-3 "after photos."Photo 1*Photo 2Photo 3CAPTCHA
