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Instructions

This application is the first step in becoming a Keep Tennessee Beautiful state-level affiliate. Once submitted, KTnB will email the Main Contact with details and the next steps. If you would like a copy of the application, please take a screenshot before submitting it. If you need assistance, contact Pam Willingham at pywllngh@memphis.edu or 901.678.2072. Thanks for helping us improve and beautify Tennessee.

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* 1. Contact Information

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* 2. Shipping Address, If different from above

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* 3. What is estimated population of proposed affiliate? 

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* 4. Highest Elected Official

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* 5. Are you applying on behalf of an existing organization or government committee/commission? If so, please list the name.

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* 6. Please identify the organizational structure of the existing organization, if applicable.

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* 7. Affiliate Fee Commitment:
We agree to either pay an annual fee of $150 OR document 8 hours of volunteer time for cleanup, fixup or beautification of community with 12 months.

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* 8. Provisional Affiliate Requirement Acknowledgement:
With the acceptance of the application, the applicant will move into Provisional Affiliate status. Over the next 3 months, Provisional Affiliates are required to complete the items below with assistance from KTnB. 
  • Determine the organizational structure and board membership (committee of an existing organization encouraged)
  • Agree to use the name Keep “Name” Beautiful if a newly forming organization but not required of organizations with an established identity
  • Prepare mission statement
  • Prepare bylaws, organization guidelines, ordinance, and/or resolution for the organization
  • Conduct a community needs assessment
  • Establish a budget; this may be in-kind
By typing your name you acknowledge you have read and understood the Provisional Affiliate steps.

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* 9. Annual Affiliate Requirments Acknowledgement:
Each affiliate must complete the following requirements each year between July 1 and June 30:
  • Submit $150 Annual Dues or document equivalent volunteer time 8 hours
  • Participate in Tennessee Great American Cleanup and at least ONE approved activity every year such as
    • Nobody Trashes Tennessee promotion
    • Arbor Day Celebration
    • Make A Difference Day
    • Environmental Education (including reading book Nancy and Sluggo Love Tennessee at a school or youth event)
    • Keep TN River Beautiful Waterway Cleanup Event (including International Coastal Cleanup)
    • America Recycles Day Event
    • Recycling and/or Reuse Collection
    • Can You Dig It including tree and/or flower planting
    • Participate in Ready, Set, Grow 5-K Run
    • Participate in Litter Law Enforcement Education Program
  • Attend a minimum of 4 hours of training during the KTnB Biennial Conference or Affiliate Retreat, at a KTnB regional workshop, a Webinar, other training provided through KTnB or its partners.
  • Submit an Annual Survey and Report with general information about includes the number of volunteers and volunteer hours

By typing your name you acknowledge you have read and understood the Annual Affiliate requirements.

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