Untitled Document



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Personal Information

First Name:
Last Name:
Email Address:
Troop Number:
Service Unit:

Please fill out one of the sections below

Section 1: Environmental Impact Project Information

Project Title:

Project Category (Check One):

	Energy Conservation
	Recycling
	Community Awareness
	Tree Planting

Short project description:
Did you work with a specific agency to do your project? (ex. US Forest Service, local recreation and park district, school, etc.) If yes, who?

Section 2: Tree Planting Information

How many tree(s) planted:
Where were tree(s) planted? Please provide the city and cross street or major landmark:
Did you work with a specific agency to do your project? (ex. US Forest Service, local recreation and park district, school, etc.) If yes, who?

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