Public Works

Application

Fill out the form below to submit an application to take part in our Adopt-A-County-Road Program. You can also download a PDF Version of the Application here if you prefer.

Organization/Group Information

Organization Name:

Address:

Phone Number:

Contact Person(s):

Address:

Phone Number:

Additional Information

County Road, Name/Number: (If not known, call (352) 374-5245 ext. 212.)

Location: (From where to where.)

Miles:

Planned Start Date:

Approximate # of Participants:

Planned Schedule:

PLEASE NOTE: A representitive of your organization must read and understand the procedures for the Alachua County Adopt-A-Road Program before your application recieve final approval.