Area Leader Report
Form
You
may fax this form to Richard Mazzucchelli at 703-777-9523 or mail it to him
with your photos at
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Submitted by |
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Area Leader's name |
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Area |
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Address |
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Phone |
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Email |
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How many miles of road were cleaned in your area? |
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How many volunteers were involved? |
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Total volunteer hours (number of volunteers multiplied by the
number of hours worked): |
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Total # of bags |
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Total # of tires |
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Total # of heavy appliances |
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Total other |
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Describe other items you picked up: |
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Organizations that helped: (Scouts Troop #, Churches, etc.)
Please include your point of contact for that organization along with their
address and phone number so we can send them their award checks. |
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Did you do any special projects? |
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Were there any problem areas we should know about? |