Fillable CityofDuluth PROJECTREQUEST EVENT COORDINATOR INFORMATION (City of Duluth)

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CityofDuluth PROJECTREQUEST EVENT COORDINATOR INFORMATION (City of Duluth)

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CityofDuluth

PROJECTREQUEST



Questions?

EmailCherylSkafteatcskafte@duluthmn.govorcall218‐730‐4334

Formoreinformation,pleasecontact:

CherylSkafte,VolunteerCoordinator,CityofDuluth

218‐730‐4334(phone)|218‐730‐5913(fax)

cskafte@duluthmn.gov

EVENT COORDINATOR INFORMATION

CoordinatorName:



OrganizationName:



TypeofOrganization(selectone):

[]Afterschool []FaithBased

[]SchoolBased []YouthGroup

[]Business []Scout/Troop

[]Nonprofit []Adopt‐a‐Spot

[]Neighborhood

[]Other:

[]Individual/Family





PrimaryPhoneNumber:



EmailAddress:



MailingAddress:

PROJECT DETAILS



DateandTimeofEvent



Name/LocationofAreaCleaned

Pleaseprovideadetaileddescriptionoftheproposedclean‐uparea,includingstreet,

creekand/ortrailnamestodefinetheboundariesoftheareaasspecificallyaspossible.



NumberofExpectedVolunteers:



WouldyouliketheCityofDuluthtorecruitadditionalvolunteersto

participateinyourclean‐upevent? []YES []NO



Istheeventsitekid‐friendly?[]YES []NO



Doesyourgrouprequireavailablerestrooms?[]YES []NO

Wecannotguaranteethatrestroomswillbeavailableateverylocation,

butwewilldoourbesttoaccommodaterequests.



Doesyoureventincludeactivitiesotherthanaclean‐up?Ifso,please

explain.

Pleaseindicateifyourgroupwouldliketoincludeadditionalclean‐upactivities

suchasweeding,raking,invasivespeciesremoval,parkmaintenance,etc.



CityofDuluth

PROJECTREQUEST



Questions?

EmailCherylSkafteatcskafte@duluthmn.govorcall218‐730‐4334

Formoreinformation,pleasecontact:

CherylSkafte,VolunteerCoordinator,CityofDuluth

218‐730‐4334(phone)|218‐730‐5913(fax)

cskafte@duluthmn.gov

Typeofactivities(pleasecheckallthatapply):

[]GraffitiRemoval []LitterRemoval

[]Gardening/Weeding []TrailCleanup

[]RoadsideCleanup []TrailMaintenance

[]NativeLandscaping/Beautification []Mowing/Trimming/WeedWhipping

[]InvasiveSpeciesRemoval []ParkMaintenance

[]Tree,ShruborFlowerPlanting

[]Other:



[]TreeMaintenance



SUPPLY/TOOL REQUEST

Pleaseindicatethenumberofeachitemyouwillrequire.Garbagebags,latexgloves,safety

vestsandguidelinepacketswillbemadeavailabletoallgroups.Othersupplieswillbe

distributedonafirstcome,firstservedbasis,asavailable.Pleaseindicateanyothersupplyor

toolneedsyoumayhaveforyourevent.



Item Amount Item Amount



WorkGloves

DisposableGloves

SafetyVests

Recommendedforgroupleadsand

projectsalongtheroadONLY



Wheelbarrows

PlasticRakes



MetalRakes

SmallBuckets

SmallLitterPickers

LargeBuckets

MediumLitterPickers

Shovels 

LongLitterPickers

MaterialDelivery

Pleaseindicateifyou’dliketohavematerialdeliveredforyourproject.Clearlystatewhattypeofmaterial(mulch,

class5,limestone,streetsweepings,etc)andtheamount(5yards,etc).



Waste/MaterialRemoval

Pleaseindicateifyou’dliketohavematerialremovedfromyourproject.Clearlystatewhattypeofmaterialwill

needtoberemoved(buckthorn,knotweed,garbagebags,dumpsitematerial,etc)andtheanticipatedamount(5

yards,etc).



OtherTools/Supplies

Pleaseindicateifthereareothertools(loppers,brushsaws,weedwrenches,pitchforks,etc)thatarenotlisted

abovethatyouneedforyourproject.Clearlystatewhattypeandamountofeachtoolyouneed.



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Completed 3 August 2020

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