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Report Results For Oregon Adopt-A-River

To report results, fill out the form below.

Coordinator Information
Project Site Name:
Title:
First Name:
Last Name:
Best Number to reach you: *	- - ext.
Best Number Phone Type: *
E-mail:
Organization/Group Name:
Project Details
Project Date(s) Please use the format mm-dd-yyyy:
Number of Adult Volunteers (including self):
Number of Youth Volunteers (0-18):
Service-Learning Projects Only Number of Students (Pre-K � Higher Ed):
Service-Learning Projects Only Number of Teachers:
Brief description of your project and its impact: *(50 words or less)
Pounds of Trash Collected:
Number of Tires Collected:
Pounds of Plastics Recycled:
Pounds of Glass Recycled:
Pounds of Paper Recycled:
Pounds of Metal Recycled:
Names of community groups and/or businesses that participated at your site:(50 words or less)
Names of anyone who donated or provided services (food, tools, or services) to your project:(50 words or less)
Other comments. (Please include additional information or email us news clippings or photos):(50 words or less)

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