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ITD 02880 (Rev. 5/01) 

  Idaho Adopt-A-Highway Program
Volunteer Group Information

Volunteer Group Name:
Total Number of Participants:
Number of Participants Under 18:

Volunteer Group Types (Check One):

Youth / Student (Schools, Scouting, Church, 4-H, etc.)
          Fraternity / Sorority / College - University
          Family / Individual
Employee - Private or Commercial Firm
          Employee - Public Agency
Civic (Rotary, Lions, Kiwanis, Chamber of Commerce, etc.)
          Fraternal (Elks, Moose, Eagles, Grange, etc.)
Miscellaneous Organization / Association (Good Sams, PALS, Senior Citizens, Garden Clubs)
Other (Specify):

Page Last Modified: 5/22/2006 4:21:21 PM

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Idaho Transportation Department
3311 W. State Street ยท P.O. Box 7129
Boise, ID 83707-1129