Mentor Application Form

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Departments / LUESA / Solid Waste / Business Recycling / Mentor Application Form

A Wipe Out Waste MENTOR has an already established waste reduction program with recycling, waste reduction, and buy-recycled components. The Mentor commits to assist at least one business in Mecklenburg County with waste reduction help; recruit businesses to become members or mentors; and to report on accomplishments at the end of their sign-up anniversary.

Date
Company Name
Type of Business
Number of Employees
Address
City
State
Zip Code
Principal Contact
Title
E-mail Address
Phone Number
Fax

Waste Reduction Program:
Briefly describe your company efforts at recycling - waste reduction - buying recycled products:

As a Wipe Out Waste Mentor, my company commits to conduct activities in each of the following two areas: During the next year my company will serve as a mentor to at least one business in Mecklenburg County. Briefly describe how your company will serve as a mentor

If the mentor contact is different from the principal contact, please include a name, title and phone number here:
Mentor Contact
Title
Phone Number
E-mail Address
During the next year my company will engage in at least one activity to recruit businesses to become a Wipe Out Waste mentor or member - Briefly describe your planned activity(s):

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RECYCLE...Always The Right Thing To Do!

For more information on the Wipe Out Waste Business Recognition Program, call
(704) 336-3777 or e-mail the Mecklenburg County Recycling Department

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Mecklenburg County, North Carolina

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