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. 

   Cleanups are typically on Saturday mornings from 8-11 am.

   This is what your nonprofit can earn:

   • 20 participants - $250
   • 40 participants - $500 (max.)

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

7. Name of Nonprofit Organization*
9. Tax ID

   Note: HYAL, HUSA and Rocket Launchers info is on file. You may leave blank

11. Organization Mailing Address

    Note: We have HYAL, HUSA & Rocket Launchers info on file. You may leave blank.

13. Contact Person / Organizer*
15. Contact's Cell Phone Number*
16. Contact's Email Address*
18. Preferences for Time and Dates:

    Check Clean Communities' calendar.

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 and you will be contacted!  - 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