Form Center

By signing in or creating an account, some fields will auto-populate with your information.

Earth Day Litter Clean Up Supplies Request

  1. Earth Day Litter Clean Up
    Help celebrate the 50th anniversary of Earth Day on April 22nd! We are encouraging schools and businesses to pick up litter around their property.
  2. Clean Up Results - Reporting Form
    We ask that you please track the number of volunteers, hours worked and number of filled trash bags collected by filling out the provided reporting form.
  3. Questions?
    Please contact Danielle Semsrott, Senior Planner at or (479) 271-6827.
  4. Contact Information
  5. Please list the place of business or school name and address.
  6. Supplies
    Supplies may be picked up starting Monday, April 21st, and extra supplies returned at your convenience to the City's Community Development Building located at 305 SW A Street, 2nd floor. Hours are M - F, 8:00 a.m. to 4:30 p.m.
  7. Supplies
    Please select the supplies you will need:
  8. Litter Disposal
    Please indicate whether you prefer to dispose of the filled trash bags on your own or have city crew pick them up.
  9. Leave This Blank:

  10. This field is not part of the form submission.