Clean California Community Designation

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This form serves as the Clean California Community Designation completion report. To achieve the designation, your community must complete 10 of the 15 criteria (see list below).

You may use the form to track each completed criterion and save your progress (click the check box above) until you have met 10 criteria in full and are ready to submit the form. Alternatively, you simply may complete the form after you have met the minimum of 10 criteria in full. For each criterion, you are asked to provide a short (300 word maximum) summary of the actions your community has taken to meet that criterion and upload a minimum of 1 and a maximum of 5 supporting documents (e.g., document, report, photo).
Community/Pledged Entity Information










Completed Criteria

Please select all the criteria you have met to qualify for the designation. Your community must meet a minimum of 10 of the 15 criteria. For each of your 10 chosen criteria, please fill out the fields that follow:
Advisory Board

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What is the structure and composition of your advisory body? How often does your advisory board meet? What are the main objectives an responsibilities of your advisory board? Do you address diversity and inclusivity in your advisory board?

Community Input

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What methods do you use to gather community input? How often do you seek feedback from the community? Did community input significantly influence the outcome of any recent litter prevention initiatives? What platforms or tools do you use to facilitate community engagement?

Litter Assessment

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What process does your community use to assess litter levels? What specific metrics do you track during a litter assessment? How do you prioritize areas for litter assessment? How frequently do you conduct litter assessments in your area?

Cleanups

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

How often are community cleanups organized? What resources and support are provided to volunteers during cleanups? What is the process for organizing a community cleanup event? How do you measure the success and impact of a cleanup event?

Measure Progress

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What key performance indicators are used to measure progress in your litter reduction initiatives? How frequently do you report on your progress? What tools or systems do you use to track and analyze progress data? What is an example of progress achieved and the factors that contributed?

Community Education

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What topics are covered in your community education programs related to litter prevention? How do you promote and deliver educational content to the community? What partnership(s) support your community education efforts? How do you assess the impact of your community education initiatives?

Youth Education

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

Which age groups are targeted in your youth education programs? What are the main themes and objectives of your youth education initiatives? What methods are used to engage and educate young people about litter prevention? How do you evaluate the effectiveness of your education programs?

Infrastructure

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What types of anti-littering infrastructure is used in your community (e.g., signs, receptacles)? How do you prioritize installations in your community? What was the impact of recent infrastructure projects?

Enforcement

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

Does your community have policies or regulations related to litter? How is compliance with these regulations ensured? What enforcement challenges does your community face? What strategies are used to address enforcement challenges? What measures are in place to promote voluntary compliance with litter prevention policies?

Long-Term Planning

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What are the key components of your long-term planning strategy for litter prevention? How is community input incorporated into long-term planning? What is the process for reviewing and updating the community's long-term plan? What are the primary goals and objectives of your long-term planning efforts?

Greening and Beautification

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What types of greening and beautification projects are implemented in your community? How is the community involved in these projects? What partnership(s) support your greening and beautification efforts. How do you measure the impact of greening and beautification projects measured?

Collection Drives

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What types of items are collected during your community collection drives? How are collection drives promoted and organized? What were the outcomes of the collection drives? Provide an example of a successful collection drive and its outcomes. What challenges, if any, were faced in organizing collection drives and how were they addressed?

Partnerships

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

What types of organizations do you partner with for litter prevention and cleanup initiatives? What are the role(s) and contributions of partners in your community litter initiatives? How are partnerships maintained and strengthened? What are the impacts of your community's successful partnership?

Cigarette Litter Prevention

Questions to consider in preparing your response (note that you are not required to answer all of these questions):

How prevalent is cigarette litter in your community? What strategies do you use to reduce cigarette litter? How many cigarette receptacles were placed within your community?

Additional Input

Signage Preference Yes/No


Signage Type

A. Standard Sign with Text
Standard Sign with Text
B. Standard Sign with Logo
Standard Sign with Logo
C. Add-On Sign
Add On Sign
Standard Sign and Certificate Info

Please enter the community name you would like to have printed on your sign and plaque. Ensure that all names and other details are spelled correctly, as the text will be printed exactly as entered.

Please upload the logo of your community you would like to have printed on the sign and plaque. Logo files accepted are .eps, .ai, .svg, .png, .pdf.
Hidden Fields

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Contact Information