SWIM

SWIM project proposal form

To request storm drain marker kits for your community project submit the following completed form or print out and mail to:

Harris County Watershed Protection Group
9800 Northwest Freeway, Suite 305
Houston, TX 77092

Or fax to 713-290-3088

Please provide us with the following information:

What is the name of your organization?

What type of organization (school, civic assoc., professional, business, church, etc.) ?

Name of project coordinator

Phone number of project coordinator

Contact Email

What is physical location of your project? Address

City

State

Zip Code

What is the estimated number of volunteers you will have for your project?

What are your estimated project hours?

Will you need the storm drain marker kits delivered? Yes No

If you answered "yes", please submit proposal form 3 weeks (15 business days) before project start date.

How many storm drains do you plan to mark?

What is the date of your project?

Where did you hear about the SWIM Program?

Would you like to request an instructional CD on how to apply the markers (also available on-line)? Yes No

Please also complete the SWIM Project Waiver Form.

SWIM

SWIM project proposal form

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