Clean California Educator Allowance Educator Name(Required) First Last School/Organization Name(Required) School/Organization Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Educator Email(Required) Enter Email Confirm Email Participation Format(Required) Classroom After-School Program Campus Youth Club Off-Campus Youth Organization How many educators were involved in your participation?(Required)Grade Level(Required) Grade K-2 Grades 3-5 Grades 6-8 Grades 9-12 Did your class/school participate in a campus cleanup?(Required) Yes No Campus CleanupWhen was the cleanup held?(Required) How many gallons of litter did your students find?(Required)How many students participated in the cleanup?(Required)Please submit the totals from your datacards here:Plastic bagsSingle-use plastic or glass beverage bottles and bottle capsFood wrappers and containersAluminum cansPaper – sheets of paper or scrapsCardboardFood scrapsTissues, napkins or paper towelsStraws or utensilsMiscellaneousWhich cleanup location was the most littered?(Required) Cafeteria area/lunch area Staff parking lot Student parking lot Hallways Perimeter fence Main entrance area Athletic fields/playgrounds Pick-up and drop-off areas Neighborhood streets Business areas Public spaces Submit a scan or photograph of your cleanup data card summary.Accepted file types: jpg, gif, png, pdf, Max. file size: 20 MB.How many youth participated in any of the Clean California classroom activities as a supplement to the cleanup? If so, which ones? Please provide any feedback from the activities.Do you have any plans to address litter on campus?Please provide any impressions about litter from students during or after your cleanup.Do you have any feedback on the cleanup, curriculum, or Clean California program as a whole?Multimedia Contest(Required) I confirm the participation of at least two of my students in the Clean California K-12 Multimedia Contest.Participating Student:(Required) First Last Participating Student:(Required) First Last EmailThis field is for validation purposes and should be left unchanged.
