2. 
3. Hazlet Township Clean Communities

   Participate in a Clean-up Event

5. Make an Impact!

   We're excited you want to make a difference in Hazlet!. Please fill out this interest form and we will reach out to you for upcoming opportunities. 
   Hazlet Township Clean Communities is focused on cleaning litter on public property. Equipment such as vests, gloves, grabbers and bags are provided. We welcome all volunteers and community groups, but only nonprofit organizations may receive grants. 

   Sign up for a cleanup opportunity. We have a calendar of opportunities on the Clean Communities page. This is what your nonprofit can earn:

   • 10 participants (min.) - $125
   • 15 participants - $200
   • 20 participants - $250
   • 25 participants - $325
   • 30 participants - $400
   • 40 participants - $500 (max.)

   Nonprofits may earn up to $500 each calendar year. Payment is by check and may take about 4 weeks. 

7. Name of Nonprofit Organization
9. Tax ID
11. Organization Mailing Address
13. Contact Person / Leader
15. Contact's Cell Phone Number
16. Contact's Email Address
18. Preferences for Time and Dates:

    See calendar of opportunities.

20. Anticipated Number of Active Participants:
21. Number of Adult Supervisors
23. Youth Age Range
25. Questions or comments?
27. Thank you!

    Submit this form I will be in touch!  - Christina Johnson, Clean Communities Coordinator

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field