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Cacapon Institute: PHLOW General Maintenance Application
This application should take you 10-15 minutes to complete.
For more information on the program, please visit
www.cacaponinstitute.org
or contact
phlow@cacaponinstitute.org
(You may edit and complete later after you "SUBMIT" at the end of this form.)
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Email
*
Your email
Please complete this application in accordance with the General Maintenance Guidelines, which can be found at the following link:
https://www.dropbox.com/s/13erp3wygmkcv1w/General%20Maintenance%20Guidelines.docx?dl=0
Feel free to contact Cacapon Institute's Watershed Education Coordinator, Victoria Lusk, with any questions or concerns by emailing
phlow@cacaponinstitute.org
.
Project Leader name:
*
Your answer
Project Leader phone number:
*
Your answer
School name:
*
Your answer
School address (include County)
*
Your answer
Who will participate in the program? Number of classes? Grade level?
Your answer
How many students do you estimate will participate?
Your answer
What type of maintenance do you want to accomplish with Cacapon Institute's help? (Examples have included mulching and weeding rain gardens, mulching and caring for trees, and more)
*
Your answer
What is the tentative date for your for the maintenance day?
MM
/
DD
/
YYYY
Please select any optional educational lessons you are interested in your students participating in?
Importance of Trees and the Role of each Tree Part
Watersheds 101
Identifying Native Tree Species
Rain Gardens and Native Plants
N/A
Other:
If you selected that you are interested in educational lessons, Cacapon Institute's Watershed Education Coordinator, Victoria Lusk, will be in touch to discuss a timeline.
If your project is accepted, do you grant Cacapon Institute permission to contact you annually and use planting and site pictures for future publications?
*
Yes
No
What are the goals or benefits you hope to achieve through this maintenance project?
*
Your answer
Thank you for your interest in a General Maintenance Project!
A copy of your responses will be emailed to the address you provided.
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