Adopt-A-Highway Interest Form (OAHU ONLY)

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Mahalo nui loa for for your interest in the Adopt-A-Highway program! Please complete this interest form if you would like more information about the program, to inquire about adopting a segment of O'ahu highway, or if you have any other questions.

An Adopt-A-Highway coordinator will reach out to you about your inquiry. If you are interested in joining the Adopt-A-Highway program, they will assist you in choosing a segment and completing the Agreement Form.

Before completing this form, please read through the following essential information about the program:

Adopt-A-Highway groups agree to:

Adopt a two-mile portion of state highway for a minimum of two years.
Pick up litter on that highway at least four times a year.
Ensure that all volunteers watch our safety video and understand the safety requirements.
Ensure all volunteers are ages 12 or above. For volunteers ages 12-17, a minor release form must be completed and there must be at least 2 adult volunteers for every 10 minors present at cleanups.

Our Program will:

Supply gloves, trash bags, and safety vests available for pick-up at the O'ahu District Office in Mapunapuna.
Erect a sign with your group's name.
Remove the rubbish bags following your clean-up events.

If you have any questions or concerns about the two year commitment or other program requirements, please reach out to us via email or complete the question at the end of the form.

For more detailed information and to view the available segments please visit our website.

YOU DO NOT NEED TO SIGN-IN TO A GOOGLE ACCOUNT TO COMPLETE THIS FORM.

If you are unsure about committing fully to the Adopt-A-Highway program requirements and would be interested in participating in any future one-time cleanups or other cleanup projects, please provide your name and contact information.

Please ensure that the three contact information fields below are completed with your preferred contact information. If any there are any opportunities that arise, an Adopt-A-Highway coordinator will reach out to you with more information.

First Name *

Last Name *

Email Address *

Please provide a valid email address so that one of our Adopt-A-Highway coordinators can reach out to you about your inquiry.

How did you hear about the Adopt-A-Highway program? *

Adopt-A-Highway signs along the roadway

At a public outreach event or booth

Online at StormWaterHawaii.com

On social media (such as Instagram, Twitter, and X)

Through our PSAs (such as TV and radio)

You or your group has previously volunteered with the program

Other:

Are you part of an organization that is interested in joining the Adopt-A-Highway program? *

Yes

If yes, what organization do you represent?

What zip code is your organization located within?

Please refer to our Adopt-A-Highway Segments map here or on our website. Are there any specific segment(s) featured that you are interested in adopting?

Yes

I have not viewed or cannot access the map

Clear selection

If yes, what segment(s) are you interested in?

If you aren't sure which segment(s) you would like to adopt or have not viewed the availability map, what areas of O'ahu are you interested in adopting within?

Please provide at least one area of interest, so that our Adopt-A-Highway coordinators can help you select the segment that is right for your group.

Do you have any other questions or comments about the Adopt-A-Highway program?

Submit

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