CEAP Form - Mind Your Plastic

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Welcome to the CEAP 2022

Thank you so much for participating in Plastic Ocean Canada’s Circular Economy Ambassador Program. Less than 10% of plastic produced is recycling, leaving 90% to pollute our environment. Let’s change that!

Teacher's Name

Teacher's Personal Email. If you are comfortable providing us this alternate contact information, it will only be used if our emails are not successfully being sent through to your work email.

Teacher's Phone Number and Extension

Teacher's available times to be contacted

School Name

School Address

School City

School Province/Territory

Number of Students Participating

Grade of Students Participating

Number of Cleanups the teacher would like to conduct

Would you be comfortable having our staff or volunteers join you on your cleanup date?

Yes No

Would you be comfortable having your cleanup photographed or videographed?

Yes No

How did you learn about the CEAP program?

If you have a question, leave us a message!