Donation & Supply Request Form

Sidebar:

Download and print a Donation & Supply Request Form (Appendix Z).

Donations

Examples of past donation requests are as follows:

Recyclers:
Clearstream (bottles and cans, or organics)
Slim Jim containers with lids (recycling or organics) 

WMAC:
Drop boxes for recycling, organics, or garbage
Carts for recycling, organics, or garbage 

Bags:
Heavy duty biodegradable bags for shredded documents for placement in green waste containers
Food scrap recycling bags
ACE Paper bags for organics or yard trimmings
Reusable Tote Bags (Bring Your Own Bag) 

Signage that identifies carts or containers – decals 

Compost/Mulch:
Wonder Grow (Whole Earth) compost from Grover Landscape.
Mulch 

Used Oil Recycling Promotional Items:
Recycled currency pencils
Funnels
Pens
District’s Used Oil DVD 

Environmental educational resources:
Activity Books (4rs Field Trips)
Coloring Books 

Submit your Donation Request Form at least one (1) month in advance. For more information, please view CVSan's Policy No. 3095, "District Donations."

Recent recipients include: A Shepherd's Heart Christian School, Advanced Pain Management, Boy Scout Troop 702, CV Autohaus, CV Rotary, CV Track Club, Coffee Cup Cafe, Eagle Scout Project, FastFrame, Growing Years Day Camp, Holy Cross Episcopal Church, Independent Elementary, Jensen Ranch Elementary, Palomares Elementary, Intero Real Estate Services, Highland Place Cooperative, Jack Brain, Palomares HOA and The Style Co.

Donation Request Form

FIRST NAME: *

LAST NAME: *

PHONE: * (like 510-555-1212)

E-MAIL: *

ADDRESS: *

CITY: *

STATE: *

ZIP CODE: *

MISSION STATEMENT

We are committed to safe, efficient and effective wastewater and solid waste management. We promote waste diversion and recycling, education and practices. We strive for public satisfaction through quality service, reasonable rates and proper stewardship of our resources and the environment.

VISION STATEMENT

Leading to preserve the environment and promote waste reduction.

STRATEGIC GOAL

The Castro Valley Sanitary District will continue to lead the community through the use of innovative programs to increase solid waste diversion to 75% by the year 2010 and reduce sewer overflows to less than 8 per year. The District will implement customer call satisfaction measurements to improve customer satisfaction. We will institute procedures which will continue to grow investments for the stability of the District to maintain a pay-as-you-go capital improvement policy.

PURPOSE OF DONATION: *

Please describe the purpose of the donation as it applies to the District's Mission Statement, Vision Statement and/or Strategic Goal.

DONATION REQUEST: *

QUANTITY: *

DATE REQUESTED: *

NUMBER OF PEOPLE IMPACTED: *

HAS CVSAN PROVIDED A DONATION FOR YOUR ORGANIZATION IN THE PAST?: *

Yes

IF YES, WHAT ITEMS, WHEN, AND ESTIMATED VALUE?:

ADDITIONAL INFORMATION OR COMMENTS:

Yes

The above information is correct to the best of my knowledge. If the donation is approved, I will use the donated goods for the purposes listed above. I have read and accept the District's Donation Policy No. 3095.

SIGNATURE: *

CAPTCHA

Please type the words you see below. This helps us prevent automated spam submissions.

Where you are on the site