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Program Application:

Master Recycler Program of Linn-Benton Counties

Please fill out this application form completely and press "submit" when finished.

Full Name:
Email:
Address:
City/Town:
State:
Postal Code:
Day Phone:
Evening Phone:
Please tell us about yourself...
Vocation
Present Employer:
Community Organizations/Volunteer Experience:
Other skills, interests, or hobbies which you could share with Master Recyclers (such as graphics, carpentry, photography, etc):
Please check the payback opportunities that interest you the most: Speaking to groups
Starting or improving recycling in the workplace
Staffing information booths at fairs, shows, and stores
Event recycling
Initiating an original project (provide example below)
Please explain briefly why you want to be a Master Recycler: