Skip to content
Facebook
Twitter
Google+
Linkedin
YouTube
Search
Keep Austin Beautiful
Home
About Us
About Us
Annual Sponsors
Staff
Board of Directors
Annual Report
Employment Opportunities
Programs
Adopt-a-Creek
Adopt-a-Street
Beautify Austin
Clean Lady Bird Lake
Community Cleanups
Keep Austin Beautiful Day
Lake Travis Cleanup
Event Calendar
Education
Activity Kits
Clean Creek Campus
Generation Zero
Green Teens
Patch Pals
Resources
Beautification Resources
Community Cleanups
Event Recycling
Tool Shack
Project Report Form
Contact
Volunteer
Donate
Home
About Us
About Us
Annual Sponsors
Staff
Board of Directors
Annual Report
Employment Opportunities
Programs
Adopt-a-Creek
Adopt-a-Street
Beautify Austin
Clean Lady Bird Lake
Community Cleanups
Keep Austin Beautiful Day
Lake Travis Cleanup
Event Calendar
Education
Activity Kits
Clean Creek Campus
Generation Zero
Green Teens
Patch Pals
Resources
Beautification Resources
Community Cleanups
Event Recycling
Tool Shack
Project Report Form
Contact
Volunteer
Donate
Activity Kit Report Form
You are here:
Home
Activity Kit Report Form
Request Cleanup Supplies
Request Other Resources
Request Event Recycling Supplies
Activity Kit Report Form
Contact Information
Name
*
First
Last
School/Organization:
Type of Organization
*
Nonprofit
Small Business (<100 employees)
Large Business (>100 employees)
Government Agency
University/College
Neighborhood
Faith-Based
School
Youth Group
Individual
Other
Organization Address:
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
Event/Activity Information
Presentation Location/Event
Example: school name, park name, festival name
Presentation Address
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
District of Presentation Location
District 1: Ora Houston
District 2: Delia Garza
District 3: Sabino "Pio" Renteria
District 4: Gregorio Casar
District 5: Ann Kitchen
District 6: Jimmy Flannigan
District 7: Leslie Pool
District 8: Ellen Troxclair
District 9: Kathie Tovo
District 10: Alison Alter
Outside Austin City Limits
Activity Kit Report
Day of Event:
*
Event Type:
School Day Presentation
After-School Presentation
Scout Group Presentation
Summer Camp
Community Fair/Festival
School Fair/ Festival
Adopt-a-Creek Project
Volunteer Service Project/Cleanup
Total Number of Participants:
*
Did you use the kit(s) at any additional events not listed above? If so, please name all events and locations.
Please indicate which Activity Kits you used.
Generation Zero Waste - made possible by Austin Resource Recovery
Recycle Relay
Compost Critters
Landfill Logic
Water Quality
Watershed Model
Litter Lifeline
Aquatic Bugs
Naturalist
Outdoor Adventure
Wildlife Tracking
Tree-mendous Trees
Seedballs
Gardening
Insect Investigation
Soil Science
Don't see your activity kit listed? Describe your activity kit
Review
Please rate the following from 1 to 5. 1 = the lowest or strongly disagree; 5 = the highest or strongly agree.
The lesson plans were easy to follow.
1 (strongly disagree)
2
3
4
5 (strongly agree)
I had all the supplies needed for the activity.
1 (strongly disagree)
2
3
4
5 (strongly agree)
The activities were appropriate for the age group participating.
1 (strongly disagree)
2
3
4
5 (strongly agree)
I did/will lead a service project component in conjunction with the activity kit(s).
1 (strongly disagree)
2
3
4
5 (strongly agree)
Please elaborate on any of the above ratings.
Please rate the following from 1 to 5. 1 = the lowest or strongly disagree; 5 = the highest or strongly agree.
I would lead an activity kit lesson again.
1 (strongly disagree)
2
3
4
5 (strongly agree)
My kit request was responded to in a timely manner.
1 (strongly disagree)
2
3
4
5 (strongly agree)
I had a positive overall experience using this resource.
1 (strongly disagree)
2
3
4
5 (strongly agree)
I would recommend this program to someone else.
1 (strongly disagree)
2
3
4
5 (strongly agree)
Please elaborate on any of the above ratings.
We would love to feature how you used the activity kits on social media and for marketing efforts. Please briefly describe how you used the activity kits and what you enjoyed about them.
Do you have any suggestions for improvements to the activities you used or additional topics you would like to see?
Comments:
We'd love to see photos of your kit in action! Upload any photos here. If you have more to share, please email them to education@keepaustinbeautiful.org.
Translate »
