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Adopt A Road Survey

The Adopt-A Road/Right-of-Way program reinforces Dover Township’s litter pick up efforts by involving citizens in the TOWNSHIP’s conservation efforts. The program serves as an educational tool to make people aware of the litter problem thereby reducing environmental issues, like pollution to our ground water. In addition, it serves to provide clean well cared for roads and right-of-ways, allowing our TOWNSHIP staff to concentrate their efforts on maintaining the infrastructure we all depend upon. The program allows groups or individuals to become special “caretakers” of portions of TOWNSHIP roads and right-of-ways.

Please answer each question as completely as possible. Questions with an * are required.

What type of community organizations are you involved with (i.e. Lions Club, Youth Group, Scouts, Youth Sports)?

Will there be any children, under the age of 18, participating with your organization in the clean-up?
Yes No

Which of the following would you prefer to clean-up?
Along a Road
Public Right-Of-Way
Both Roads and Public Right-Of-Ways

If given a choice, is there a specific area or road your organization would like to adopt?

How many people will you have available to participate in the program?

How many times per year would you anticipate participating in the clean-up?

Would your group like to participate in a once a year "Clean-Up Day" sponsored by Dover Township, which would be held in the spring of each year?
Yes No

If Dover Township organized such an event, can you suggest any area businesses that may want to help sponsor the event?

Would someone in your organization be willing to be the contact and be responsible for filling out a short form provided by the Township indicating important information about your clean-up efforts?
Yes No

Would you find it more convenient to have forms and information about this program mailed to you or available on our website?
Mailed to Me Available on the Dover Township Website

What is your goal in wanting to participate in this program?

* What is your e-mail address?


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