Corvallis Recycling Block Captains
Please provide all contact info listed below (first five fields). If you have not yet identified the scope of your neighborhood, you can leave the last two questions blank and we will follow up with you (we need location and house count to avoid overlap of neighborhoods and to determine the number of copies you need).

The Recycling Block Captain program is coordinated by the Corvallis Sustainability Coalition's Waste Prevention Action Team, and we encourage you to join!

As a captain you can educate your Corvallis neighbors about recycling, composting, and waste prevention. It only takes a couple hours every three months, so it’s both easy and very beneficial to the neighborhoods that are served. Recycling block captains have two primary responsibilities:

1) Distribute recycling information to your neighbors 3-4 times per year, and
2) Serve as a liaison between your neighbors and the Sustainability Coalition’s Waste Prevention Action Team (i.e. pickup your handouts quarterly and help answer your neighbors’ questions if/when they arise).

The action team provides the handouts; the captains define their own neighborhood (number of homes and location).

For additional details or questions, please contact Recycling Block Captain Coordinator Dawn Marie Gaid at

You can see a map of existing neighborhoods and past handouts on our webpage:
Sign in to Google to save your progress. Learn more
Captain Name *
First and last, please
Email *
Phone *
Home Address *
Number and street
What contact info would you like included on materials you give neighbors, other than your address? *
Neighborhood location (e.g. Monroe from 5th to 10th)
House count
We recommend counting houses by walking your neighborhood or using an online mapping tool (e.g. to count lots/rooftops.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy