Illinois Waterway Cleanup Registration
Illinois Waterway Cleanup Week is September 15-21. If you have seen the flyer (www.IllinoisGlobalScholar.org) and are interested in participating in this event, please sign up to receive updates, curricular materials, and grant information. If you have specific questions, please contact WaterWayCleanup@global-illinois.org
First Name *
Last Name *
School Name and Address *
Role at School (if applicable)
Email Address *
Phone number
1. Which options described in the flyer interest you most? (select all that apply) *
Required
2. If you need heavy duty trash bags would you like Illinois Global Scholar to send them to you? (while supplies last) *
3. Would you be interested in serving as a hub to distribute trash bags? *
4. Needs-based funding is available to offset transportation costs. Is this of interest? *
5. Explain your funding needs and list the percentage of students at your school that receive free or reduced school lunches *
6. Questions?
Submit
Never submit passwords through Google Forms.
This form was created inside of Illinois Global Scholar/DuPage Foundation.