Contact Information
Street Number (Required)*
Street Direction ... E N S W *
Street Name (Required)*
Street Type (Required) ... Avenue Boulevard Centre Circle Court Cove Drive Grove Highway Hill Hollow Lane Park Pike Place Plaza Road Run Square Street Street North Street South Terrace Trail Walk Way *
Address Line 2*
City (Required) ... Aberdeen Absecon Allamuchy Allendale Allenhurst Allentown Alloway Alpha Alpine Andover Annandale Asbury Asbury Park Atco Atlantic City Atlantic Highlands Audubon Audubon Park Augusta Avalon Avon-By-The-Sea Baptistown Barnegat Barnegat Light Barrington Basking Ridge Bay Head Bayonne Bayville Beach Haven Beachwood Bedminster Belle Mead Belleville Bellmawr Belmar Belvidere Bergenfield Berkeley Heights Berlin Bernardsville Beverly Blackwood Blairstown Bloomfield Bloomingdale Bloomsbury Bogota Boonton Boonton Township Bordentown Bound Brook Bradley Beach Branchburg Branchville Brant Beach Brick Bridgeport Bridgeton Bridgewater Brielle Brigantine Broadway Brooklawn Brookside Budd Lake Buena Burlington Butler Caldwell Califon Camden Cape May Cape May Court House Cape May Point Carlstadt Carneys Point Carteret Cedar Grove Cedarville Chatham Boro Chatham Twp Chatsworth Cherry Hill Chesilhurst Chester Chesterfield Cinnaminson Clark Clayton Clementon Cliffside Park Clifton Clinton Closter Collingswood Colts Neck Columbia Columbus Convent Station Cookstown Corbin City Cranbury Cranford Cream Ridge Cresskill Deal Delanco Delran Demarest Dennisville Denville Deptford Dover Dumont Dunellen East Brunswick East Hanover East Newark East Orange East Rutherford East Windsor Eastampton Eatontown Edgewater Edgewater Park Edison Egg Harbor City Egg Harbor Twp. Elizabeth Elmer Elmwood Park Elwood Emerson Englewood City Englewood Cliffs Englishtown Essex Fells Estell Manor Ewing Fair Haven Fair Lawn Fairfield Fairton Fairview Fanwood Far Hills Farmingdale Fieldsboro Flemington Florence Florham Park Folsom Forked River Fort Lee Franklin Franklin Lakes Franklinville Freehold Frenchtown Galloway Garfield Garwood Gibbsboro Gibbstown Gillette Glassboro Glen Gardner Glen Ridge Glen Rock Gloucester City Great Meadows Green Brook Greenwich Guttenberg Hackensack Hackettstown Haddon Heights Haddonfield Hainesport Haledon Hamburg Hamilton Hammonton Hampton Hancocks Bridge Hardwick Hardyston Twp Harrington Park Harrison Harrisonville Harvey Cedars Hasbrouck Heights Haworth Hawthorne Hazlet Helmetta High Bridge Highland Park Highlands Hightstown Hillsborough Hillsdale Hillside Hi-Nella Hoboken Ho-Ho-Kus Holmdel Hopatcong Hope Hopewell Howell Independence Twp Interlaken Irvington Island Heights Jackson Jacobstown Jamesburg Jersey City Jobstown Johnsonburg Keansburg Kearny Kenilworth Kenvil Keyport Kinnelon Lafayette Lake Como Lake Hopatcong Lakehurst Lakewood Lambertville Laurel Springs Lavallette Lawnside Lawrenceville Lebanon Ledgewood Leesburg Leonia Lincoln Park Linden Lindenwold Linwood Little Egg Harbor Little Falls Little Ferry Little Silver Livingston Loch Arbour Lodi Long Branch Long Valley Longport Lumberton Lyndhurst Madison Magnolia Mahwah Manahawkin Manalapan Manasquan Manchester Mannington Mantoloking Mantua Manville Maple Shade Maplewood Margate Marlboro Marlton Matawan Mays Landing Maywood Medford Medford Lakes Mendham Merchantville Metuchen Mickleton Middlesex Middletown Midland Park Milford Millburn Millstone Milltown Millville Mine Hill Minotola Monmouth Beach Monmouth Junction Monroe Township Monroeville Montague Montclair Montvale Montville Moonachie Moorestown Morris Plains Morristown Mount Arlington Mount Ephraim Mount Holly Mount Laurel Mount Olive Twp Mountain Lakes Mountainside Mullica Hill N. Brunswick National Park Neptune Neptune City Netcong New Brunswick New Egypt New Gretna New Milford New Providence New Vernon Newark Newfield Newport Newton North Arlington North Bergen North Caldwell North Haledon North Plainfield North Wildwood Northfield Northvale Norwood Nutley Oakhurst Oakland Oaklyn Ocean City Ocean Gate Oceanport Ogdensburg Old Bridge Old Tappan Oldwick Oradell Orange Oxford Palisades Park Palmyra Paramus Park Ridge Parsippany Passaic Paterson Paulsboro Peapack Pedricktown Pemberton Pennington Penns Grove Pennsauken Pennsville Perth Amboy Petersburg Phillipsburg Pilesgrove Pine Beach Pine Hill Pine Valley Piscataway Pitman Pittsgrove Pittstown Plainfield Plainsboro Pleasantville Point Pleasant Point Pleasant Beach Pompton Lakes Pompton Plains Port Murray Port Norris Port Republic Princeton Princeton Junction Prospect Park Quinton Rahway Ramsey Randolph Raritan Red Bank Ridgefield Ridgefield Park Ridgewood Ringoes Ringwood River Edge River Vale Riverdale Riverside Riverton Robbinsville Rochelle Park Rockaway Rockleigh Rocky Hill Roosevelt Roseland Roselle Roselle Park Rosenhayn Rumson Runnemede Rutherford Saddle Brook Saddle River Salem Sayreville Scotch Plains Sea Bright Sea Girt Sea Isle City Seabrook Seaside Heights Seaside Park Secaucus Sergeantsville Sewell Shamong Shiloh Ship Bottom Shrewsbury Somerdale Somers Point Somerset Somerville South Amboy South Bound Brook South Hackensack South Orange South Plainfield South River South Toms River Southampton Sparta Spotswood Spring Lake Spring Lake Heights Springfield Stanhope Stewartsville Stockton Stone Harbor Stow Creek Stratford Summit Surf City Sussex Swedesboro Tabernacle Teaneck Tenafly Thorofare Tinton Falls Titusville Toms River Totowa Tranquility Trenton Tuckahoe Tuckerton Turnersville Union Union Beach Union City Upper Saddle River Ventnor Vernon Verona Victory Gardens Villas Vineland Voorhees Waldwick Wall Wallington Walpack Wanaque Wantage Waretown Warren Washington Washington Twp. Watchung Wayne Weehawken Wenonah West Berlin West Caldwell West Cape May West Creek West Deptford West Long Branch West Milford West New York West Orange West Paterson West Wildwood West Windsor Westampton Westfield Westmont Westville Westwood Wharton Whippany Whitehouse Station Wildwood Wildwood Crest Williamstown Willingboro Winfield Winslow Twp Woodbine Woodbridge Woodbury Woodbury Heights Woodcliff Lake Woodlynne Wood-Ridge Woodstown Woolwich Twp Wrightstown Wyckoff Other *
Other City*
State*
Zip (Required)*
Clean Communities Coordinator*
Contact Person (If different from Clean Communities Coordinator)*
Contact Phone*
Contact Fax*
Email Address*
Population (Whole Numbers Only)**Must be valid number.Must be valid decimal.
Municipalities and counties are required to appoint a Clean Communities coordinator. No resolution is required.
Do you want to receive updates at www.njclean.org? YesNo *
Financial Information
Income

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Fill in with ZERO (0) if not applicable
Total Clean Communitites Grant for Current Period (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total Funds Remaining in Grant as of Date of this Report (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total Additional Income from in-kind donations (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total Additional Income from Enforcement Actions (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total Additional Income (Other*) (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total$ 
Cleanup Expenses

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Fill in with ZERO (0) if not applicable
* 25% of your grant may be used for equipment. An additional 25% may be used for storm drain and/or leaf collection activities.
Salaries (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Contracts (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Equipment (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Storm Drain Activites (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Supplies (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Mini Grants (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Other* (Catering, Refreshments, etc) (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total$ 
Education Expenses

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Fill in with ZERO (0) if not applicable
Salaries (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Contracts (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Promotional Items (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Publicity (ads, videos. public service announcements, etc.) (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Other* (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total$ 
Enforcement Expenses

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Fill in with ZERO (0) if not applicable
Salaries (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Contracts (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Other* (Required)*$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total$ 
Administrative Expenses

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Fill in with ZERO (0) if not applicable
Salaries (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Contracts (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Supplies/Postage (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Other* (Required)$  * Amount must not exceed 25% of grant Must be valid dollar amount. *
Total$ 
TOTAL INCOME$ 
TOTAL EXPENSES$ 
TOTAL GRANT REMAINING$ 
*If you selected "Other", please provide details below

Remember: Total Income minus Total Expenses should equal any funds left in the grant
Statistical Information
Litter Pickup and Removal
Litter picked up by employees or paid workers

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Number of cleanups (Required)**Must be valid number.Must be valid decimal.
Number of participants (Required)**Must be valid number.Must be valid decimal.
Number of man-hours (volunteers times hours) (Required)**Must be valid number.Must be valid decimal.
Amount of litter picked up (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Amount of litter recycled (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Road miles cleaned (Required)**Must be valid number.Must be valid decimal.
Acres of public property cleaned (Required)**Must be valid number.Must be valid decimal.
Litter picked up by contractors

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Number of cleanups (Required)**Must be valid number.Must be valid decimal.
Number of participants (Required)**Must be valid number.Must be valid decimal.
Number of man-hours (volunteers times hours) (Required)**Must be valid number.Must be valid decimal.
Amount of litter picked up (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Amount of litter recycled (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Road miles cleaned (Required)**Must be valid number.Must be valid decimal.
Acres of public property cleaned (Required)**Must be valid number.Must be valid decimal.
Litter picked up by community service workers

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Number of cleanups (Required)**Must be valid number.Must be valid decimal.
Number of participants (Required)**Must be valid number.Must be valid decimal.
Number of man-hours (volunteers times hours) (Required)**Must be valid number.Must be valid decimal.
Amount of litter picked up (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Amount of litter recycled (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Road miles cleaned (Required)**Must be valid number.Must be valid decimal.
Acres of public property cleaned (Required)**Must be valid number.Must be valid decimal.
Litter picked up by Sheriff's Labor Assistance Program (SLAP)

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Number of cleanups (Required)**Must be valid number.Must be valid decimal.
Number of participants (Required)**Must be valid number.Must be valid decimal.
Number of man-hours (volunteers times hours) (Required)**Must be valid number.Must be valid decimal.
Amount of litter picked up (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Amount of litter recycled (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Road miles cleaned (Required)**Must be valid number.Must be valid decimal.
Acres of public property cleaned (Required)**Must be valid number.Must be valid decimal.
Litter picked up by volunteers

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Number of cleanups (Required)**Must be valid number.Must be valid decimal.
Number of participants (Required)**Must be valid number.Must be valid decimal.
Number of man-hours (volunteers times hours) (Required)**Must be valid number.Must be valid decimal.
Amount of litter picked up (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Amount of litter recycled (Required)* ... Bags Pounds Tons *Must be valid number.Must be valid decimal.
Road miles cleaned (Required)**Must be valid number.Must be valid decimal.
Acres of public property cleaned (Required)**Must be valid number.Must be valid decimal.
 

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How many groups obtained an Adopt A Road MiniGrant? (Required)**Must be valid number.Must be valid decimal.
How many groups obtained an Adopt A Park MiniGrant? (Required)**Must be valid number.Must be valid decimal.
How many groups obtained an Adopt A Waterway MiniGrant? (Required)**Must be valid number.Must be valid decimal.
How many groups obtained an Adopt A Beach MiniGrant? (Required)**Must be valid number.Must be valid decimal.
How many groups obtained a different type of Adopt-A-MiniGrant? (Required)**Must be valid number.Must be valid decimal.
Public Outreach and Education
Education

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Number of educational programs (schools, community groups) conducted by paid employees (Required)**Must be valid number.Must be valid decimal.
Number of people reached (Required)**Must be valid number.Must be valid decimal.
Number of educational programs (schools, community groups) conducted by contractors (Required)**Must be valid number.Must be valid decimal.
Number of people reached (Required)**Must be valid number.Must be valid decimal.
Number of special events conducted by paid employees or volunteers (conferences, workshops, fairs, trade shows, etc) (Required)**Must be valid number.Must be valid decimal.
Number of people reached (Required)**Must be valid number.Must be valid decimal.
Publicity

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Did you or your administration distribute press releases to the media? YesNo
Number of articles or ads placed (newspaper, television/cable, radio, billboards, brochures/flier, websites**Must be valid number.Must be valid decimal.
Number of people reached**Must be valid number.Must be valid decimal.
Enforcement
Number of violations (Required)**Must be valid number.Must be valid decimal.
Number of citations (Required)**Must be valid number.Must be valid decimal.
Describe your enforcement program (Required)*
Program Overall Performance
Description of the Program (including goals, objectives, description of program)*

Achievements (Required)*

Weaknesses (Required)*

Goals for Next Grant Period (Required)*

Other (No more than 500 words)*

County Coordinators are encouraged to work closely with Municipal Coordinators who manage programs in their counties. County Coordinators are asked to organize at least two meeting per year with their municipal coordinators. Attendance at workshops and conferences hosted by the Clean Communities Council are considered meetings.
County Coordinators (ONLY)

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How many municipal coordinator meetings did you host?**Must be valid number.Must be valid decimal.
Number of attendees**Must be valid number.Must be valid decimal.
Municipal Coordinators (ONLY)

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How many coordinator meetings did you attend? (Required)**Must be valid number.Must be valid decimal.
Coordinators

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How many workshops and/conferences did you attend? (Required)**Must be valid number.Must be valid decimal.
Please review the data you entered. Once you save the data, you will receive a confirmation number. Keep the confirmation number for your files. You can use it to access your report at any time and make updates. Once you submit the report, you may not make revisions. You can access your report at any time in “read only” format.