Request for Sustainability Outreach Staffer

2. Sustainability Outreach Staffer Request
   You are submitting a request for a booth at an event, a classroom speaker or other educational activity or material.

   You are submitting a request for a booth at an event, a classroom speaker or other educational activity or material.

3. 

5. Event name*

6. Your name

8. Your email address

9. Your phone number

11. Your address

12. Your city, state, & zip code

14. What kind of outreach are you looking for?

    1. Recycling Coordinator
    2. Surface Water outreach
    3. Hazardous materials outreach
    4. BothellCool (general sustainability)
    5. Booth at an event

15. Event date and start/end time*
    Event date and start/end time Start Date

    Event date and start/end time Start Time

    —

    Event date and start/end time End Date

    Event date and start/end time End Time

16. Location of event*

    1. Inside Bothell's city limits
    2. Outside Bothell's city limits

18. What is the purpose of the event?

    Tell us how our sustainability programs tie in with your event.

20. Event location*

    Where is the event located?

21. Event city and zip code

23. Thank you!
    We will review your request and contact you within 10 business to ask any questions and tell you whether we are able to attend.

    We will review your request and contact you within 10 business to ask any questions and tell you whether we are able to attend.

Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field