CLEAN UP EVALUATION

Thank you so much for organising a clean up in your local community. Keeping New Zealand beautiful is a mammoth job and we couldn't do it without you!

KNZB is a registered charity and every year we have to procure funds to be able to provide clean up kits free of charge to community groups such as yours. With your help we can produce a credible report that shows just how big and succesful our clean ups are throughout the year. With accurate participation numbers, information about the litter collected and some supporting photos it really helps us to secure the necessary funds for the following year. We would really appreciate if you can take 5 minutes to fill out the following details about your clean up.

Supervisor - First Name

Last Name

Email Address

Group/Organisation

Site Address

Post code

Total of Volunteers

Total volunteer time (number of hours x number of volunteers)

Date of clean up

Did an accident/incident occur? If yes, please complete an incident report found in the link below.

Yes

To download the Incident report click here then email back to programmes@knzb.org.nz or post to PO Box 58932 Botany, Auckland

Were any cigarette butts found at your site?

Yes

If yes, approximately how many?

Were any disposable coffee cups found on your site?

Yes

If yes, approximately how many?

Does this site attract illegal dumping?

Yes

If yes, please describe what was found and where

Total number of rubbish bags collected

Total number of recycling bags filled

Estimated total site area in square metres (Handy hint: The average size of a rugby field is 6900 sqm)

Approximate weight of total rubbish collected

Any interesting or unusual items collected?

We would love to see your photos from the day! By uploading these your consent is given to use these images.

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png.

CLEAN UP EVALUATION

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