San Marcos Neighborhood Beautification Trailer Application
2
San Marcos Neighborhood Beautification Trailer Application Form Designated Project Coordinator __________________________________________________________ Home Phone Number _________________________ Work Phone Number ___________________ Coordinator Address ____________________________________________________________________ Email ______________________________________________________________________ __________ Driver’s License Number or State ID Card (attach copy) ________________________________________ Neighborhood ______________________________________________________________________ ___ Number of households participating in cleanup (minimum of 5 required) __________________________ *Attach a list of participating households; include names, addresses, and phone numbers Trailer Drop Off (date/time) ____________________ Pick Up (date/time) _______________________ Trailer will be dropped off Friday between 8:00am-5:00pm and picked up Monday between 8:00am-5:00pm Parking location of the Trailer_____________________________________________________________ Cleanup Project Description (include cleanup date): Location and Boundaries of Cleanup Project: Participant List Form and Project Coordinator Waiver must be sent in with this application!
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Transcript of San Marcos Neighborhood Beautification Trailer Application
San Marcos Neighborhood Beautification Trailer
Application Form
Designated Project Coordinator __________________________________________________________
Home Phone Number _________________________ Work Phone Number ___________________
Coordinator Address ____________________________________________________________________
Email ________________________________________________________________________________
Driver’s License Number or State ID Card (attach copy) ________________________________________
Neighborhood _________________________________________________________________________
Number of households participating in cleanup (minimum of 5 required) __________________________*Attach a list of participating households; include names, addresses, and phone numbers
Trailer Drop Off (date/time) ____________________ Pick Up (date/time) _______________________
Trailer will be dropped off Friday between 8:00am-5:00pm and picked up Monday between 8:00am-5:00pm
Parking location of the Trailer_____________________________________________________________
Cleanup Project Description (include cleanup date):
Location and Boundaries of Cleanup Project:
Participant List Form and Project Coordinator Waiver must be sent in with this application!
I, as the designated Project Coordinator agree to the following:
-As, Project Coordinator, I will work with the City of San Marcos to determine a proper parking location for the trailer and will meet with a staff member at the location when the trailer is delivered and picked up -I will ensure that all participants using the equipment form the trailer are at least 18 years old and have completed all waivers-I will confirm the equipment inventory when the trailer arrives and before it is returned with city staff. -I will distribute supplies to participants and ensure all equipment is operated safely. I will make sure that all supplies are returned to the trailer when the project is completed. - I will complete and submit the Cleanup Summary Report to Amy Kirwin.
Signature Date
