Project Name: *
Who owns the property? (Example: City of Portland, BLM, US Forest Service, etc.)
Have you received permission from them for this project?
Yes
No
Site Name: (location of event)
Address: * (or nearest intersection)
City: * (The city where the site is located)
State:
Oregon
Washington
ZipCode:
County: (The county where the site is located)
Baker
Benton
Clackamas
Clark, WA
Clatsop
Columbia
Coos
Crook
Curry
Deschutes
Douglas
Gilliam
Grant
Harney
Hood River
Jackson
Jefferson
Josephine
Klamath
Lake
Lane
Lincoln
Linn
Malheur
Marion
Morrow
Multnomah
Polk
Sherman
Tillamook
Umatilla
Union
Wallowa
Wasco
Washington
Wheeler
Yamhill
I am planning to do a project on: *
September 25, 2010 - 10:00am to 1:00pm
September
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30
01
2010 from
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15
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45
AM
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to
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00
15
30
45
AM
PM
Brief description of your project and its impact: * (50 words or less)
Project Activities: *
(Select more than one by holding down the Ctrl key while clicking)
Select one or more ...
Illegal Dumpsite Cleanup
Invasive Plant Removal
Litter Pickup
Mulching Around Plants
Plant Guards for Native Plants
Planting Native Vegetation
Weeding
Other activities:
Potential Safety Issues:
(Select more than one by holding down the Ctrl key while clicking)
Select one or more ...
Traffic
Steep Slopes
Water Body on Site
Hazardous Materials/Needles
Homeless Camp Site
Poison Oak
Mechanized Equipment Use
Heavy Lifting
Uneven or Slippery Ground
Other potential safety issues:
Will you have a pre or post event celebration for project volunteers? (Examples: BBQ, raffle, potluck, etc.) If yes, please describe: (25 words or less)
Is there a co-coordinator planning this event with you? If yes, enter contact information below
Co-Coordinator Prefix:
None
Mr.
Mrs.
Ms.
Miss
Dr.
Co-Coordinator First Name:
Co-Coordinator Last Name:
Co-Coordinator Contact Phone:
-
-
ext.
Co-Coordinator Contact Phone Type:
None
Home
Business
Cell
Co-Coordinator E-mail:
Co-Coordinator E-mail Type:
None
Home
Business
Is there public transportation nearby? *
Yes
No
Is your project handicapped accessible? *
Yes
No
Is this project within 200 ft of a body of water? *
Yes
No
If yes, body of water name:
How will you publicly acknowledge SOLV's involvement with your project?
SOLV's visible involvement is key to our continued ability to provide help and funding to future projects.
Will this project raise funds to benefit non-profit organizations?
Yes
No
If yes, what portion will be donated to SOLV? (SOLV's Nonprofit Tax ID No. 93-0579286)
Directions to site from nearest highway: * (50 words or less)
Parking instructions: (25 words or less)
Volunteer meeting place: (25 words or less)
What is the recommended minimum age for volunteers at your project?*
No minimum age
6
8
10
12
14
16
18
For community projects:
Minimum volunteers needed
Maximum volunteers needed
Is this project part of another event or does it have its own event name? If yes, event name:
Will this project involve students? *
Yes
No
Is this project closed to the public, open to the public or open to just business volunteers?
Closed - school-based project
Open - community volunteers welcome!
Open - business volunteers welcome!
For projects involving students:
# of Students
# of Adults