**Sample Application for Reference Only**

Proposals will only be accepted via the online application form found at http://bingrant.org

Note: The numbers shown for certain questions on this PDF sample form do not match the exact order ofthe online version.

The Public Space Recycling Bin Grant Program supports local community recycling initiatives by providingselected grant recipients with receptacles for the collection of beverage container recyclables.

Applications will only be received on-line and must be submitted by November 17, 2017.

Note: This form does not allow you to save partially filled out applications. If your browser is closed prior tocompleting the entire application you may need to start again with a new application from scratch. For thisreason, we encourage you to prepare and save your responses in a separate document on your computerand then copy and paste these into the online form.

To save a copy of this application with your responses you will need to print each page as you progressusing your web browser’s printing options. Before clicking the [Next] and [Done] buttons, use your webbrowser’s printing options to print the current page of answers.

2017 Coca-Cola Public Space Recycling Bin Grant Application

ContactInformation

2017 Coca-Cola Public Space Recycling Bin Grant Application

1. Organization Name:*

First Name

Last Name

Title

Department

Organization (if differentfrom above)

Email address

Phone number

2. Primary Contact:*

First Name

Last Name

Title

Department

Organization (if differentthan above)

Email address

Phone number

3. Secondary Contact (if primary contact is not available):*

4. Would you like to receive future emails about Keep America Beautiful programs and resources? Note: KAB doesnot sell or share contact information with third parties.

Yes, I would like to receive information about KAB programs and resources

Only about grants or public space recycling resources

No, I do not wish to receive any communications except those related to this grant applications

City

State

Zip Code

5. Location*

6. How would you describe your organization? (Select one response only)*

College/University

Community organization without non-profit status

For-profit organization

Government agency

Non-profit organization with official 501 tax status

Religious organization

School (elementary, middle, high, etc.)

Native America Tribe

Other (please specify)

Note: non-college applicants can skip these questions

College & UniversityDetails

2017 Coca-Cola Public Space Recycling Bin Grant Application

7. Type of institution*

2 year community college

4 year- primarily undergraduate

4 year- with significant post-graduate

8. What is the setting that these bins will be used in? (Select all that apply)*

Housing / Residence halls

Classrooms

Staff / faculty offices

Indoor public areas (lobbies, hallways, etc.)

Outdoor public areas (pathways, courtyards, building entrances, etc.)

Athletic facilities

Dining facilities

Special events

Other (please specify)

If yes, please explain.

9. Does your campus have contractual or institutional restrictions preventing the placement of Coca-Cola brandedbins on campus or recognition of Coca-Cola in media releases or other public communications?

*

Yes

No

Not Sure

BackgroundOrganization

2017 Coca-Cola Public Space Recycling Bin Grant Application

10. How did you hear about the grant program? (Select all that apply)*

Keep America Beautiful

State recycling organization

State environmental/recycling agency

Local government

Company representative

Media

Non-governmental agency

Web search

Listserve

Other (please specify)

If a partner, list the affiliate's name.

11. Are you a Keep America Beautiful affiliate?*

Yes, I am with a KAB affiliate

Yes, our govt. agency is an affiliate, but run from a different department

No

We partner directly with a KAB Affiliate

I don't know

12. If you partner with an affiliate or work from a different department, have you consulted with the affiliate contactabout this project?

13. What settings will these bins be used in? (Select all that apply)*

Athletic facility, play fields

Campground

Religious facility

Public / govt. building (fire station, library, town hall,community center)

Multi-family housing facility

Office buildings

Park/ walking trail / public beach

Retail establishment/ theater/ mall

School (elementary, middle, high)

Streetscape

Special Events (festivals, food tasting, music, art, etc.)

Fairgrounds (state, county, etc.

Other:

Details ofProposal

2017 Coca-Cola Public Space Recycling Bin Grant Application

14. General Narrative: In two paragraphs or less, please explain how and where the bins would be used and howthey would improve recycling opportunities if you received a grant. Include general location details about wherethe bins will be placed. (ex: next to picnic benches; building lobbies, etc.)

*

15. Would the bins be used year round?*

Yes, they will be actively used in permanent settings throughout the year

Yes, bins are in permanent settings year round, but actual use drops significantly by season

They are used for temporary events year round

No, bins are only used for limited events at certain times of the year

Other (please specify)

Please explain

16. Is this the first time your organization has established or maintained a recycling program in public spacelocations?

*

Yes

No

If yes, please explain how these would be offered.

17. If requesting special event bins, will other organizations be able to borrow them when you are not using them?

Yes

No

I don't know

18. Estimate the average number of individuals that would have access to the bins on an annual basis. ONLYPLACE A NUMBER IN THIS FIELD, DO NOT INCLUDE COMMAS

*

19. Estimate the average number of individuals that would have access to the bins on a daily basis during peakusage times. ONLY PLACE A NUMBER IN THIS FIELD, DO NOT INCLUDE COMMAS.

*

20. Please explain how the daily and annual numbers were determined. Are these based on official data, educatedguess, etc.

*

BinInformation

2017 Coca-Cola Public Space Recycling Bin Grant Application

Please look at the following pictures to know the available recycling bin options. Click here to see additionalbin specifications.

Bottle-Shaped Bin

Round Bin

Plastic / General Purpose

Waste Watcher

Clear Stream / Wireframe

FlexE Multi-Stream

Multi-Recycling (6-gallon)

21. What is your first choice of bin style ? (Select one response only)*

Round Bin

Plastic General Purpose bin

Waste Watcher (23 gallon)

Waste Watcher XL (32 gallon)

Wire frame / Clear Stream

Bottle-shaped bin - Contour (Coca-Cola branding)

Bottle-shaped bin - Straight wall (KAB branding)

FlexE multi-stream bin

Multi-Recycler (6-gallon)

22. If your first choice is not available, would you accept another bin style? (if no, skip the next two questions)*

Yes

No

Possibly (please explain):

23. What is your second choice of bin style ? (Select one response only)

Plastic General Purpose

Rounds

Wire frame / Clear Stream

Waste Watcher (23 gallon)

Waste Watcher XL (32 gallon)

Bottle-shaped bin - Contour (Coca-Cola branding)

Bottle-shaped bin - Straight wall (KAB branding)

FlexE multi-stream bin

Multi-Recycler (6 gallon)

24. If only your second choice of bin were available, would this change how and where you would use them?Explain:

25. How many bins are you requesting? List response in numeric form. Ex: 20*

26. How did you determine this is the appropriate number of bins?*

If yes, what is the minimum number necessary for success?

27. Would you accept a partial grant?*

Yes

No

2017 Coca-Cola Public Space Recycling Bin Grant Application

Recycling InfrastructureInformation

28. Beyond the project you are proposing, would receiving this grant be likely to spur further investment in publicspace recycling projects. Please explain. (ex: grant will be matched with local investment in additional bins; this isa pilot to demonstrate feasibility for expanding recycling to other public space locations)

29. What are the most likely sources of beverage containers/recyclables these bins are intended to capture?*

Vending machines

Onsite concessions

Brought by visitors

Special events

Other (please specify)

30. Is there a significant amount of beverage containers and/or other recyclables disposed of at the intended binlocations?

*

Yes, significant amount of all types of recyclables

Yes, significant amount, mostly beverage containers

Yes- significant amount, mostly paper

A moderate amount of recyclables

A minimal amount of recyclables

Other (please specify)

31. What steps have you taken to quantify the amount of recyclables discarded at intended bin locations? Checkany that apply.

*

Conducted waste audit

Reviewed concession sales

Visual scan of bins

Based on previous quantities tracked at this location

Loose estimate

Other (please specify)

32. If you have quantified the amount, please explain and share specific measurement details.

33. What materials will you collect with these bins? (Select all that apply)*

Aluminum cans

Glass bottles

Paper

Plastic bottles

Other (please specify)

34. Will all the types of recyclable materials you intend to recover be collected together in one bin or would usesegregate different material types in separate bins? (Select one response only)

*

Mixed recycling - All materials in one bin (ex: containers + paper)

Source separated - (ex: Cans in one bin, Plastic in another, etc.

Not sure

Please explain

Recycling Infrastructure Information,cont.

2017 Coca-Cola Public Space Recycling Bin Grant Application

35. Will these bins be used to replace existing bins or to expand recycling to new locations?*

Replace existing bins (old bins to be discarded)

Expand recycling to new locations

Replace existing bins (old bins will be moved to different locations)

Mix of new locations & replacing bins

Other (please specify)

If some or all recycling bins would be placed without trash bins, please explain the reason.

36. Experience has shown recycling bins placed by themselves (not paired w/ a trash bin) are likely to attractcontamination. Would these recycling bins be placed directly next trash bins

*

Yes, all recycling bins would be paired w/ trash bins

Some recycling bins will be paired w/ trash bins, some will not

Recycling bins would not be paired w/ trash in most circumstances

Other (please specify)

37. Who is or will be responsible for monitoring the fullness and collecting from the recycling bins? (Select all thatapply)

*

Paid staff - internal

Paid staff - external/hauling contractor

Volunteers

38. Explain how these bins will be managed over the long term to keep them in working order, replace peelingdecals,etc.

*

39. Has the proposed use of recycling bins been reviewed and approved by facilities or other necessaryadministrative personnel? Please explain

*

40. Are there any further approvals, operational factors, budget contingencies, contractual or other considerationsthat would delay the bins being put into use later than April 2018?

*

Education and PromotionInformation

2017 Coca-Cola Public Space Recycling Bin Grant Application

41. What assistance/education will you provide to those receiving and/or using the bins?*

42. If you are chosen as a grant winner, how will you publicly acknowledge receiving the grant? (Select all thatapply)

*

Brochure

Newsletter Article

News Release

Poster

Presentation (school, town meeting, board, etc.)

Radio PSA

Social Media

TV PSA/Cable Access Channel Post

Website

Word of Mouth

N/A - Do not intend to announce receiving grant

Other (please specify)

43. Would you be willing to host a local ribbon cutting event the new recycling bins? Please explain:

TrackingInformation

2017 Coca-Cola Public Space Recycling Bin Grant Application

44. Grant recipients are required to track and report after one year the quantity of recyclables collected with thebins. (Select all that apply)

*

We are able to isolate recyclables from the awarded bins separate from other existing recycling bins

We are able to weigh isolated recyclables

We are able to track the volume of recyclables to estimate their weight

We do not have a clear plan to track recyclables separately, but are confident we can develop a system

It would be difficult, but we can loosely estimate based on frequency of collection

We have no way to track recyclables separately. Would be very difficult to do.

45. Please explain in general terms how you intend to track the quantity of recyclables collected using grantedbins. Note: preference is given for detailed, well thought out plans to track weights.

*

YOU HAVE COMPLETED THE APPLICATION. THANK YOU. An email notification will be sent by mid-December to let you know whether a grant has been awarded or not. For more information on the programand application process, contact: Alec Cooley at Keep America Beautiful, acooley@kab.org.

Thank you for completing theapplication

2017 Coca-Cola Public Space Recycling Bin Grant Application