canvassing the neighborhood - khb - home a. canvassing the neighborhood ... u. volunteer waiver ......
TRANSCRIPT
Revised 8/5/10
Forms
A. Canvassing the Neighborhood
B. Clean Neighborhoods Pledge
C. Cleanup Timeline Planner
D. Cleanup Workday Agenda Model
E. Cleanup/Beautification Request
F. Getting the Word Out Worksheet
G. Good Neighbors Day & Information Drop Timeline
H. Litter & Graffiti Citizen Patrols Timeline
I. Major Landscaping Project Planner
J. Neighborhood Spotter Checklist
K. Neighborhood Volunteers
L. Planning Session Flyer
M. Property Survey
N. Request Packet Instructions
O. Roll-Off Trash Container Request
P. Safety Tips
Q. Site Box Score Form
R. Supervising Volunteers
S. Supply Request
T. Volunteer Registration
U. Volunteer Waiver
V. Warehouse Instructions
W. Windshield Survey
Main Menu
Revised 8/5/10
Canvassing the Neighborhood
Block
Cross streets
Block captain Phone
Block captain’s address
Contacting your neighbors.
Check all that you plan to do:
A. Call on phone D. Speak to community groups
B. Go door-to-door E. Write letter
C. Post Clean Neighborhoods materials F. Other _________________
Talking to your neighbors.
The success of your neighborhood beautification program depends on getting the
word out to your neighbors. Speaking in person with each resident on your block is
the best way to communicate your enthusiasm. If you have trouble reaching people
at home, try locating their telephone numbers and calling them. As a last resort,
hang flyers on their doorknobs.
When you’re able to reach your neighbors and find they are willing to participate,
include their names, addresses and telephone numbers on the ―Neighborhood
Volunteers‖ form.
Revised 8/5/10
Neighborhood Volunteers
Name Address Phone
Revised 8/5/10
Getting the Word Out Worksheet
Person responsible for communications Phone
Address
Recruitment methods.
Check all that you plan to use:
A. Civic club newsletter H. Photography
B. Door-to-door campaign I. Posters
C. Flyers J. Presentations
D. Local service organizations K. Press release
E. Mail notices L. Site signs
F. News story M. Telephone
G. Newspaper calendar N. Word of mouth
Five key questions.
What points will be emphasized in communications?
Which community newspapers, radio and television programs are your targets?
Revised 8/5/10
Who will be your official photographer to take ―before‖, ―during‖ and ―after‖
shots of all projects?
Who will collect published news stories, correspondence and pictures?
Who will prepare a file of accomplishments to submit to the Mayor’s Proud
Partners Award Program?
Revised 8/5/10
Planning Session Flyer
Help keep our neighborhood beautiful! You can make a difference. You can play an important part in improving our
neighborhood. We need your help to implement the City of Houston and Keep
Houston Beautiful’s Clean Neighborhoods program, an ongoing community
cleanup and landscaping initiative.
If you can imagine a neighborhood free of litter and debris...no more abandoned
cars, overgrown lots or other unsightly nuisances...esplanades lined with flowers,
trees and shrubs...a safer, more prosperous place to work and live...then you can
see what a difference the Clean Neighborhoods program can make to the
appearance of our community.
Help us make our neighborhood a showplace. Join us for our first neighborhood
planning session.
Date Time
Location
Organization
Revised 8/5/10
Safety Tips
As we work to clean up our neighborhood, we should all exercise caution so that
we can prevent this day from being marred by any injury.
The following is a list of Safety Tips that will help us make this day a great
success for all:
1. Watch out for traffic.
2. Be on the watch for snakes around logs, tall grass and other likely places.
3. Under no circumstances should you attempt to pick up syringes or
hypodermic needles!
4. Avoid contact with poison ivy and/or poison oak.
5. Be alert to stinging insects, especially fire ants.
6. Do not attempt to compact (squeeze) trash sacks to gain room for more trash.
Injuries from broken glass or jagged objects often occur as a result of this
practice. Fill the sack with what goes in easily and then get another bag—
we have plenty to go around!
7. Be careful to recognize your own physical limitations.
8. Your block captain has a First Aid Kit should aid be necessary.
Special notes.
Please put aluminum cans into separate bags so that they can be recycled and used
again for something else. Also, see your block captain for specific instructions on
the handling of tires at your site.
Revised 8/5/10
Cleanup Workday Agenda Model Activity Materials
8:00 a.m. Block captains arrive 1 small table with chair
Waste haulers arrive Morning refreshments
Containers placed
Registration area/table setup
8:15 a.m. Final crew assignment made Signs/posters
Signs placed in areas targeted for work
8:30 a.m. Volunteers begin arriving Waiver forms
Register Volunteers (Waivers) Name tags
Assign to crews
Issue name tags/T-Shirts
8:50 a.m. Group begins to rally Trash bags
Block captains welcome and give pep talk Other tools
Place crews together
Distribute equipment bags
9:00 a.m. Crews leave for work site
Work begins
9:15 a.m. Bagged litter placed curbside Beverages
Loaders load truck First aid supplies
Trucks transport bagged litter Bags
Party arrangements begin (hospitality crew)
Noon Volunteers begin returning
Volunteers and equipment checked in
12:30 p.m. All volunteers returned
Wrap-up by block captains
Party begins Food and beverages
1:00 p.m. Volunteers begin leaving
Cleanup crew cleans site
Block captains report to headquarters
Block captains report any heavy trash
Revised 8/5/10
Cleanup Timeline Planner Time Activity
__________ Waste containers placed at collection sites day before cleanup.
__________ Block captains arrive at headquarters site.
__________ Set up registration area.
__________ Set out Clean Neighborhoods site signs.
__________ Volunteers arrive.
__________ Register volunteers, issue T-shirts and sign waiver.
__________ Issue crew assignments.
__________ Distribute equipment.
__________ Volunteer orientation, pep talk and safety tips review.
__________ Cleanup begins.
__________ Trucks transport bagged litter to collection sites.
__________ Roving team with water and extra supplies leaves.
__________ Preparations for lunch begin.
__________ Break for lunch.
__________ Resume cleaning if necessary.
__________ Crews report any remaining heavy trash.
__________ Return tools.
__________ Closing.
__________ Other.
Revised 8/5/10
KEEP HOUSTON BEAUTIFUL
NEIGHBORHOOD CLEANUP VOLUNTEER PROGRAM VOLUNTEER REGISTRATION
Name Organization
Address
City Zip
Home phone Work phone E-mail
ACKNOWLEDGMENT, WAIVER AND RELEASE
This form must be signed by each volunteer who will participate (Participant) in or otherwise be involved with the Keep
Houston Beautiful Neighborhood Cleanup Volunteer Program (Program). Volunteers under age 18 must have this form
signed by a parent of legal guardian.
I ACKNOWLEDGE and UNDERSTAND that I am volunteering my services to the Program gratuitously, without any express
of implied promise by the City to compensate me for my services, and I ACKNOWLEDGE and UNDERSTAND that I am not
entitled to, and will not receive, remuneration of any kind, including, but not limited to, salary or reimbursement for my
transportation, parking, travel, or any other expenses whatsoever which may be incidental to my services as a volunteer for the
Program.
I ACKNOWLEDGE and UNDERSTAND that I will be participating in the Program at my own risk. I affirm that I am
physically fit and prepared to perform services in the Program. I will not create an unsafe situation for other individuals, or
myself, nor will I use any tool or engage in any task with which I am not completely comfortable. I will abide by all applicable
federal, state and local laws, as well as the rules and directions of the Program coordinators. If I see any situation that I feel is
unsafe, I will call it to the attention of a safety coordinator.
IN CONSIDERATION OF PARTICIPANT BEING PERMITTED TO PARTICIPATE AND AS A CONDITION TO
BEING ALLOWED TO PARTICIPATE IN THE PROGRAM, I, THE UNDERSIGNED, FOR AND ON BEHALF OF
MYSELF, MY MINOR CHILD (IF APPLICABLE), MY HEIRS, EXECUTORS, ADMINISTRATORS AND ASSIGNS,
HEREBY RELEASE, ACQUIT AND FOREVER DISCHARGE KEEP HOUSTON BEAUTIFUL, AND THE CITY OF
HOUSTON, TEXAS, TOGETHER WITH ITS/THEIR FORMER AND PRESENT ELECTED AND APPOINTED
OFFICIALS, DIRECTORS, LEGAL REPRESENTATIVES, AGENTS, SERVANTS, EMPLOYEES (IN BOTH THEIR
PUBLIC AND PRIVATE CAPACITIES), VOLUNTEERS, SUCCESSORS, ASSIGNS, AND ALL AFFILIATED
PERSONS AND ENTITIES (HEREINAFTER COLLECTIVELY CITY), OF, FROM AND AGAINST ANY AND ALL
LIABILITIES OF EVERY KIND, CLAIMS, CAUSES OF ACTION, WHETHER AT LAW OR IN EQUITY, IN
CONTRACT OR TORT, UNDER STATUTORY OR COMMON LAW OR PURSUANT TO THE TEXAS OR UNITED
STATES CONSTITUTION(S) (INCLUDING ALL EXPENSES OF LITIGATION, COSTS, AND ATTORNEYS’ FEES),
KNOWN AND UNKNOWN, LOSSES, JUDGMENTS, FINES, DEMANDS, DAMAGES, LOSS OF USE OR SERVICES,
OR INJURIES TO REAL AND/OR PERSONAL PROPERTY AND/OR PERSONS (INCLUDING DEATH)
(COLLECTIVELY CLAIMS), CAUSED BY, ARISING OUT OF, TOUCHING UPON OR IN ANY WAY RELATING
TO THE PROGRAM AND/OR THE PRESENCE, MALFUNCTION, MAINTENANCE, ADDITION, SUBSTITUTION,
USE OR CONDITION OF ANY TANGIBLE PERSONAL OR REAL PROPERTY OWNED, LEASED, OPERATED,
OR UTILIZED BY THE CITY IN CONNECTION WITH THE PROGRAM EVEN IF THE CLAIM IS THE RESULT OF
THE ACTUAL OR ALLEGED SOLE NEGLIGENCE OF THE CITY AND/OR THE RESULT OF THE ACTUAL OR
ALLEGED GROSS NEGLIGENCE OF THE CITY, AND/OR THE ACTUAL OR ALLEGED JOINT OR
CONCURRENT NEGLIGENCE OF THE CITY AND ANY OTHER PERSON OR ENTITY, AND/OR THE ACTUAL
OR ALLEGED STRICT, STATUTORY OR CONSTITUTIONAL LIABILITY OF THE CITY.
Finally, I hereby grant the City full and complete permission to use in legitimate promotions of the Program photographs, video
shots and quotations from me. THANK YOU FOR VOLUNTEERING!
Signature of Participant/Parent or Legal Guardian of Participant Printed Name of Participant Date
Revised 8/5/10
Printed Name of Parent or Legal Guardian (if signing on behalf of a Participant under age 18)
Supervising Volunteers Supervision tips.
Basic tenets of successful volunteer supervision are:
communicating well
expressing appreciation for work
When volunteers are asked to accept assignments, it’s important to fully explain:
the purpose of the job
when the job is to begin and end
what the job entails
how best to do the job
Job assignments made by block captain.
Block captain’s team
Task Volunteer assigned Phone
Volunteer orientation ___________________ ___________
Equipment/tools ___________________ ___________
Sign-in/sign-out ___________________ ___________
Refreshment team ___________________ ___________
First aid ___________________ ___________
Photos ___________________ ___________
Roving ___________________ ___________
Gardeners ___________________ ___________
Litter collectors ___________________ ___________
Sweepers/rakers ___________________ ___________
Revised 8/5/10
Windshield Survey
Location Condition To note problems, use numbers from your Neighborhood Spotter Checklist. 1. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 2. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 3. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other”
� Low � Light � Heavy trash 4. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 5. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 6. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other”
� Low � Light � Heavy trash 7. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 8. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other”
� Low � Light � Heavy trash 9. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other” � Low � Light � Heavy trash 10. Address Priority Quantity of Trash Type of Trash List Problem Nos.
� High � Heavy � Litter
Cross Street � Medium � Medium � Rubbish Describe “Other”
� Low � Light � Heavy trash AREA OF CITY SPOTTER NAME SIGNATURE DATE
Revised 8/5/10
Cleanup/Beautification Request
Organization Council district Community name Date of request
Contact person Work phone Home phone Mobile phone or pager
Time of event. (Minimum four weeks notice required.)
1st choice for date of event 2nd choice for date of event
Kick-off location/ address Kick-off time
Geographic location.
Key Map page(s) Zip codes
Northern street boundary Southern street boundary
Eastern street boundary Western street boundary
Activities planned.
Check all that you plan to do:
A. Delitter D. Plant trees, shrubs and/or flowers C. Other __________________
Please estimate.
______ # of probationers requested ______ # of volunteers recruited
______ # of 40 cubic yard, open-top roll-off trash containers (2 maximum)
Important notes.
1. If you need roll-off containers, please fill out the attached Request Letter.
2. You must have the property owners’ written permission to enter weeded lots.
3. You are responsible for arranging restroom facilities and first aid during the event.
Please send Keep Houston Beautiful a list of volunteer names and addresses for our Clean Neighborhoods mailing list.
Please mail or fax this form to: Keep Houston Beautiful
3000 Richmond Avenue, Ste 350
Houston, TX 77098
713-839-8855 Fax: 713-839-8880
Revised 8/5/10
Warehouse Instructions
Keep Houston Beautiful stores its trash bags and small hand tools at The City of
Houston’s Environmental Service Center. The advantage of this new service is that
there is a warehouse technician on-site and will be able to pull your supply request in
advance of your visit and have everything ready when you arrive to pick it up.
After the KHB staff approves your supply request, the request form will be faxed to
Mike Aden, Warehouse Manager. You can then pick up supplies on Friday mornings
at 9:00 a.m.
When you arrive at the warehouse, Mike will open the gate so that you can pull
around and he can load your supplies.
A $100.00 security deposit made payable to Keep Houston Beautiful is required.
This check will not be cashed and will be returned to you once KHB’s tools are
returned to the warehouse no later than 12:00 noon on the Monday following your
Saturday workday.
Warehouse: 5614 Neches
Houston, Texas 77026
713-805-4953 Fax: 713-699-8924
Revised 8/5/10
Supply Request Form Must have SITE BOX SCORE FORM
when returning equipment
Contact Person Pick-up date Cleanup Date
Organization
Phone Cell Phone E-Mail
Supplies Assigned and Returned
(Please do not write in the gray areas)
Keep Houston Beautiful @ Environmental Service Center, 5614 Neches, 713-699-7960 or KHB Office: 713-839-8855; Fax: 713-839-8880
Checked out by Date
Approved by KHB office for loan of tools/equipment Date
Note: A $50.00 deposit or $100.00 deposit (for heavy equipment) is required EXCEPT when only
trash bags are requested! All above items must be returned, including gloves and vests, in order for the
deposit to be returned. Damaged or missing tools will be deducted from the deposit. An invoice for the
difference will be issued to you.
By signing below you agree:
To use tools for a community beautification project, cleanup, improvement and/or maintenance project
To pick up and return tools to the KHB warehouse in a timely manner
To store the tools in a secure location, protected from the weather
To be financially responsible for any missing or damaged tools (other than normal wear and tear)
Trash Bags Garden Rake 24" Big
Wheel Mower
Mowers
Hand Saw
Vests 5 or 10 gallon
cooler (circle size)
21" small
Mower Tiller (1)
Gloves Ice Chest Weedeater Pitch Fork
Orange Cones Debris Shovel Weedeater
Cord Post Hole Digger
Litter Grabbers Long Nose Shovel Weedeater
Oil/Gas Mix Spading Fork
Hand Claw
Tool
Regular Shovel Goggles Tent/Canopy (1)
Heavy Metal
Rake
Square Head
Shovel
Gas Can –
citizen fill up Tables (3)
Push Brooms Long Scrappers Square Head
Hoe Ladders (2)
Small Hand
Trowel Machete Loppers First Aid Kit
Wheelbarrow Swing Blade Hedge
Trimmer Paint Materials
Revised 8/5/10
Request Packet Instructions
Enclosed is the Cleanup/Beautification Request Packet. It contains three (3) forms,
which you must fill out and fax or mail to Keep Houston Beautiful to initiate the
request process.
It is best to use the forms in this packet as your originals or ―masters.‖ Photocopy
the masters as you need additional forms. When you have cleanups you can simply
fax or mail Keep Houston Beautiful your completed forms instead of requesting
another set.
Please read the paperwork thoroughly. Be very specific when filling in geographic
area, kick-off location and time. Also, carry a copy of the Supply Request form
with you when you pick up any item from the warehouse. The warehouse will not
issue any item without Keep Houston Beautiful’s approval.
Thank you for helping keep Houston beautiful.
Please fax or mail completed forms to:
Keep Houston Beautiful
3000 Richmond Avenue, Ste 350
Houston, TX 77098
713-839-8855 Fax: 713-839-8880
Revised 8/5/10
Clean Neighborhoods Pledge
You can count on us to help keep our community clean by participating
in the Clean Neighborhoods program.
We, the community, promise to: 1. Establish a Clean Neighborhoods committee that includes representatives of
civic groups, businesses and schools.
2. Assign individuals to handle specific roles to assist in volunteer recruitment,
public awareness and special project oversight.
3. Document and report program results.
The Clean Neighborhoods program promises to: 1. Provide training and education on how you can improve your neighborhood.
2. Establish linkages with public and private sector groups to facilitate the
delivery of resources.
3. Provide communication and marketing tools to help create awareness for your
activities.
Please print (except for signature):
Community representative Community organization
Address/Zip Phone Fax
Signature Date
Please fax or mail completed form to: Keep Houston Beautiful
3000 Richmond Avenue, Ste 350
Houston, TX 77098
713-839-8855 Fax: 713-839-8880
Revised 8/5/10
Roll-Off Trash Container Request
Date Mr. Harry Hayes
Director, Solid Waste Management Department
P.O. Box 1562
Houston, TX 77251 Dear Mr. Hayes: We are requesting a roll-off trash container (30 or 40 cubic yards) for use during our
cleanup/beautification event. We understand that up to two (2) containers can be
requested, and the request must be received by your department at least three (3) weeks
prior to the cleanup date. We also understand it is our responsibility to contact Ms. Karen Journet of your office at
713-699-7906 after our event with the street locations of any bagged litter we leave out
and/or to report any overflow of trash around the container(s) we are requesting.
Contact person Organization Signature
Event location Phone Fax
Number of container(s) requested Date needed Council district
Key Map page(s) from the orange 42
nd Edition Houston/Harris County Key Map Atlas
Specific location of container(1)
Specific location of container(2)
Please mail or fax this form to: Keep Houston Beautiful,
3000 Richmond Avenue, Ste 350
Houston, Texas 77098
713-839-8855 Fax: 713-839-8880
Revised 8/5/10
Major Landscaping Project Planner Deadline Activity
_________ Select planning committee.
_________ Select site.
_________ Identify corporate partners.
_________ Set calendar/time table.
_________ Develop budget for funding.
_________ Plan with landscape architects.
_________ Inform Houston Parks & Recreation Department.
_________ Obtain engineered drawings from City Public Works Dept.
_________ Review requirements.
_________ Call Keep Houston Beautiful, 713-839-8855, to inform of project.
_________ Submit all ―Letters of Intent‖ necessary.
_________ Receive official acceptance letter and maintenance agreement.
_________ Obtain water meter and irrigation permits if necessary.
_________ Select plants and trees.
_________ Mobilize planting volunteers.
_________ Call Lonestar Notification Center 48 hrs. before planting.
_________ Prepare the beds.
_________ Schedule plant and tree delivery.
_________ Schedule the day for the planting.
_________ Write ―Thank Yous.‖
_________ Congratulate participants.
_________ Document your project.
_________ Maintain it!
Revised 8/5/10
Property Survey
Please use one form per address:
Submitted by Date
Block captain Phone
Area of city (subdivision) Project no. (assigned by agency after violation reported)
Address of property surveyed Zip code for property
(if no address, site by address next to
or across the street from property)
Neighborhood nuisances.
Check all that apply and try to take a photograph:
llegal trash pile on private property Illegal placement of heavy trash at residence
Dangerous building–vacant and open Open storage of tires
Junked, inoperable vehicle stored on site Hazardous chemicals (do not touch, move or clean up)
Cars parked on sidewalk Collapsing building
Weeded property–weeds over 9 inches Illegal placement of household garbage
Graffiti (not gang-related) Solid waste container left in right-of-way
Rat harborage or infestation Deposited trash in ditch
Open storage of boat Failure to maintain fence
Open storage of lumber No identifying numbers on residence
Fire-damaged building Accumulation of stagnant water
Unmaintained swimming pool Auto parts on ground
Fence in disrepair Open storage of an appliance
Parking blocking sidewalk or driveway Parking large commercial vehicle in residential district between
6 p.m. and 7 a.m.
Parking on public street for more than 24 hours Parking commercial vehicle on public street between 2 a.m.
and 6 a.m.
Dumpster overflowing Failure to remove building demolition within 30 days
Failure to keep garage/shed in good repair Maintaining fowl within 100 feet of a residence (church,
school, hospital)
Revised 8/5/10
Solid Waste violations.
Check all that apply:
Heavy trash out prior to Friday before collection Trash not properly bagged or in authorized
Heavy trash not bundled Blocking public sidewalk/street with heavy trash
Failure to place yard waste in proper container Failure to store automated collection container out of public view
Public Works repairs needed.
Check all that apply:
Water or sewer leaks Damaged or missing traffic or street signs
Trees/bushes blocking traffic or signs Street lighting needed or needs repair (describe)
Clogged open ditch Broken street curbs
Street with pot holes or in need of other repairs Out-of-order traffic signals
Crime/safety issues and graffiti tagging.
Please describe below any suspicious or unusual occurrences or any substandard conditions not
listed above:
Graffiti gang markings Suspicious activities
Revised 8/5/10
Neighborhood Spotter Checklist
The success of your neighborhood beautification program depends on getting the word out to your neighbors.
Esplanades.
1.Mow 8. Delitter
2.Edge 9. Add trees
3.Trim trees 10. Fill in holes with dirt
4.Mulch trees 11. Repair curb
5.Remove dead trees 12. Paint curb
6.Stake trees 13. Treat ants
7. Replace plants 14. Water
Signage.
15. Sign missing from pole 18. Sign fallen down or damaged
16. Sign is faded 19. Additional signage needed
17. Illegal signage to be removed
Vacant lots.
20. Mow 22. Delitter
21. Edge sidewalk
Streets.
23. Bus stop needs to be cleaned 26. Stripping needed (indicate if crosswalk, divided lines, etc.)
24. Sign is faded 27. Street light burned out (list number on pole)
25. Street light pole needs to be repaired 28. Delitter
(list number on pole)
Illegal dump sites.
29. Yard waste 33. Appliances or ―white goods‖
30. Furniture 34. Medical waste
31. Household trash 35. Abandoned automobiles, auto parts, scrap tires
32. Construction and demolition waste 36. Other
(drywall, roofing shingles, lumber,
bricks, concrete, siding)
Revised 8/5/10
Litter & Graffiti Citizen Patrols Timeline
Please find your area of responsibility in the following legend and mark your calendar.
CA: Civic Association
SV: Student/parent Volunteers
KHB: Keep Houston Beautiful
HPD/DRT: Houston Police Department/Differential Response Team
NPD: Neighborhood Protection Division
SWMD: Solid Waste Management Department
PW: Public Works
Date Action Organization(s)
___________ Identify participants CA/KHB
___________ Schedule meeting date CA/KHB
___________ Create teams CA/SV
___________ Schedule training CA/KHB
___________ Create a schedule for property survey CA/SV
___________ Follow-up meeting to discuss survey results and make referrals. ALL
a) Determine collection method for the
survey forms.
b) Establish a process for assessing and
prioritizing the survey forms with key
agency representatives.
___________ Create a follow-up reporting mechanism ALL
Revised 8/5/10
KHB Site Box Score Form Cleanup Date:
Organization Site name
Cleanup Beautification Number of volunteers _______ Number of Probationers ____
Event time: start_______________ end_______________ Council District_______
List the name of each participating volunteer group:
1. 4.
2. 5.
Please provide address (s) of lots mowed:
Other________________________________________________________________________________
ACTIVITIES: Please indicate the quantities for the activities completed
Submitted by:_________________________________________________Date: _______________________
Tel: _________________________________ E-Mail: ___________________________________________
Please fax to Keep Houston Beautiful at 713-839-8880
Trash Bags Collected Dumpsters Filled
Esplanades Mowed Lots Mowed
Street Blocks Cleaned Miles of hiking, biking, nature trails
cleaned/weeded/maintained
Esplanades Cleaned Playgrounds/sport fields, community recreation areas
built, cleaned, restored, constructed
Illegal Dumps Cleaned Nature Centers, outdoor classroom areas built,
cleaned, restored, constructed
Ditches Cleaned Homes painted, renovated, built
Vacant Lots Cleaned Flowerbeds/Gardens Installed
Parks Cleaned Individual Plants/Flowers Planted
Car Tires Collected Trees Planted
Truck Tires Collected Street Esplanades Landscaped
Recycling Bags Collected
(glass, plastic, aluminum cans) Waterways cleaned, restored, improved
Pounds of electronics
collected for recycling Graffiti Sites Removed
Revised 8/5/10
Good Neighbors Day & Information Drop Timeline
Please find your area of responsibility in the following legend and mark your calendar.
CA: Civic Association
SV: Student/parent Volunteers
KHB: Keep Houston Beautiful
HPD/DRT: Houston Police Department/Differential Response Team
NPD: Neighborhood Protection Division
SWMD: Solid Waste Management Department
PW: Public Works
Date Action Organization(s)
___________ Schedule a planning meeting. CA/SV/KHB
a) Identify date and time for information
drop & kick-off site.
b) Identify boundaries of area for
information to be distributed.
c) Identify locations for dumpsters.
___________ Flyers prepared. KHB/CA
1st Sat. Information Drop Day...adults from civic club paired CA/SV/KHB
with students.
a) Information disseminated.
b) Volunteers report back to check-in.
Mon. following NPD officers issue warning notices and leave flyers NPD
information drop so violators have an opportunity to abate problem.
2nd Sat. Dumpster placed in community at location on flyers. SWM
___________ Youth and/or civic association members may assist CA/SV
seniors needing help with trash problems.
Week after 2nd Sat. Neighborhood Protection officers will issue citations. NPD