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Keep Iowa State Beautiful

Picture of Cy and trash can "Keep it clean, keep it green."

Adopt Campus Program Sign-up Form

Department Student Organization Individual
Name:
Phone number:
Email Address:
Number of volunteers:

From the drop down lists below, please select three buildings, parking lots, or other areas in priority order that you would like to adopt.

Option 1: Building Parking Lot Other Area
Option 2: Building Parking Lot Other Area
Option 3: Building Parking Lot Other Area
Special instructions or requests:


Following are expectations of any group or individual who wishes to participate in this program:

  1. Assigned area should be monitored on a weekly basis, either by the leader or a designated member.
  2. Organize monthly clean-up activities.
  3. Team leader is responsible to submit a team roster accompanied by a signed waiver of liability form from each team member.
  4. Team leader is responsible to provide safety information to team members.
  5. Team leader is responsible for obtaining trash bags and/or gloves as needed from Central Stores.
  6. Trash and other items collected shall be disposed of in the proper location (i.e. dumpsters).
  7. If conditions are unsafe, contact Facilities Planning & Management at 515-294-5100. For example, if there are large quantities of glass or objects that are too heavy to be lifted safely, contact FP&M.
  8. One of the goals of this program is to ultimately eliminate the problem of litter on campus. With this in mind, clean up cannot be limited to one day per month or solely to the assigned area. Group members should make an effort to control their own litter, as well as that of their friends, co-workers, etc., thereby creating an overall culture change.

Risk Statement

Thank you for volunteering your services to Iowa State University. As a volunteer:

  • I understand that my participation in this activity is without monetary consideration.
  • I understand that I do not have a formal work appointment and the university shall have the right to release me as a university volunteer without prior notice.
  • I understand that ISU does not provide me with accident or medical insurance and that any accident or medical expenses incurred by me will be the primary responsibility of my medical insurance company.
  • I understand that I am not covered by ISU Worker’s Compensation or entitled to employee benefits as a result of my volunteer status.
  • I understand that I must be eighteen years of age or older to participate unless specifically approved as a participating minor and under the direct supervision of a parent or guardian at all times.

If you have any questions or concerns, contact the committee at kisb@iastate.edu

Keep Iowa State Beautiful