Oklahoma Clean Community ApplicationApplicants will be selected based on involvement in tire collection events, two Keep Oklahoma Beautiful (KOB) programs, and an environmental service projects score. The award levels are below:

Level 1 - Scissortailed Flycatcher

• One tire collection event• Participation in The Great American Cleanup (GAC) & 1 additional KOB program• Environmental Service Projects score of 6 +

Level 2 - Bison

• One tire collection event• Participation in GAC & 1 additional KOB program• Environmental Service Projects score of 3-5

Level 3 - Rose Rock

• One tire collection event• Participation in GAC & 1 additional KOB program• Environmental Service Projects score of 1-2

Tire Collection:

Organize at least one community wide tire collection event in one year

Community-wide event program

Date of last event: ___________________________________________________________ No. of Event(s) in the last 2 years: _____________________________________________ Avg. number of tires collected at event(s): ______________________________________

Keep Oklahoma Beautiful Programs:

Affiliate Network http://www.keepoklahomabeautiful.com/affiliation

America Recycles Day http://www.keepoklahomabeautiful.com/america-recycles-day

Community Improvement Workshops http://www.keepoklahomabeautiful.com/regional-workshops

End Litter Video Contest http://www.keepoklahomabeautiful.com/end-litter

Environmental Excellence Awards http://www.keepoklahomabeautiful.com/environmental-excellence-competition

Fresh Paint Days http://www.keepoklahomabeautiful.com/fresh-paint-days

Great American Cleanup in Oklahoma http://www.keepoklahomabeautiful.com/ great-american-cleanup

Environmental Service Projects

Have city employees view an environmental webinar

One Point

Attend a KOB workshop

Self-nominate for KOB award

• Info can be found at http://www.keepoklahomabeautiful.com/award-guidelines

Adopting a highway section, http://www.okladot.state.ok.us/beauty

Promoting sustainable lawn care

Hosting a water efficiency or xeriscaping workshop

Promoting rainwater collection

Encouraging employees to participate in Oklahoma Water Watch and Oklahoma Lake Sweep www.owrb.state.ok.us/quality/monitoring/watch/wwatch.php; http://www.oclwa.org/index.php

Educating your community about ozone action days

Promoting Energy StarTM or the use of renewable energy

Educating your community about residential energy conservation

Designing, building, and distributing bird houses or butterfly houses

Flower and tree plantings

Graffiti removal

Clothing collection

School locker clean out

Schoolyard cleanup

Two Points

Purchase sustainable products • Buy products made from recycled materials• Switch from plastic or Styrofoam to paper single use items• Purchase used items instead of new• Switch to non-toxic cleaners

ODOT Trash-off http://www.okladot.state.ok.us/beauty

Supporting a community recycling program

Hosting an Alternative Transportation Day

Supporting school, work, or community wildlife habitat projects, http://www.nwf. org/; http://www.oklahomaconservation.org/

Sponsoring or hosting continuing environmental education opportunities for area teachers

Litter-free events

Paint community buildings

Illegal dump site clean up

Three Points

Utilizing crumb rubber recycled products

Hosting a household hazardous waste collection event

Distributing low-flow plumbing fixtures and leak detecting devices

Sponsoring a public education campaign on nonpoint source pollution

Funding the distribution of LED lights

Supporting or creating outdoor classrooms

Working with local groups to acquire and preserve habitat

Sponsoring a lecture series on environmental issues

Litter/debris removal

Main Street project

In 200 words or less, explain why your community is an Oklahoma Clean Community

Tell us about yourself:

Name of Community/Organization: _____________________________________________Street Address: _____________________________________________________________City: _____________ State: _____ Zip Code: ______ County: ____________________Mailing Address (if different): __________________________________________________City: _____________ State: _____ Zip Code: ______ County: ____________________Community/Organization Website: _____________________________________________Contact Name: (Mr. /Mrs./Ms./Dr.) _______________________________________________Phone: ________________ Fax: _________________ E-Mail: _______________________How did you hear about Oklahoma Clean Community?

Marketing mailer Internally within your company

Conference News media

Phone Call Environmental Consultant

Email DEQ

Other ______________________________________________________

PLEASE RETURN THIS FORM TO:Oklahoma Clean CommunityOklahoma Department of Environmental QualityLand Protection Division P.O. Box 1677Oklahoma City, OK 73101-1677Or fax to Ferrella March at (405) 702-5101,or e-mail to okcleancommunity@deq.ok.gov