City of Grand Prairie : Online Forms

1. Official Name to be Used on Certificate:

2. Name by which you prefer to be called:

3. Street Address:

4. City, State, ZIP:

5. Phone Number(s):

6. E-mail Address:

7. T-Shirt Size:

8. How did you hear about the class?

9. Name of the Master Composter who recruited you:

10. Describe prior gardening/composting experience:

11. Why are you interested in this program?

12. Do you have any special skills that you might be willing to share with this program? (Teacher, carpenter, languages, available at any time, etc.)

13. Do you understand that the class meets for 15 hours over three days?

Yes

No

14. Will you attend all three days?

Yes

No

15. Do you understand that the community service commitment is strictly voluntary?

Yes

No

16. Do you understand that you will receive a compost bin worth more than $30 after documenting 20 hours of community service?

Yes

No

17. Do you understand that you will receive a framed certificate after documenting 40 community service hours?

Yes

No

A nonrefundable registration fee of $25 for Grand Prairie residents, $40 for non-residents, payable to the City of Grand Prairie, must be mailed or delivered to ensure your place in the class. Please mail to: Recycling Coordinator City of Grand Prairie P.O. Box 534045 Grand Prairie, Texas 75053

Page 1 / 1