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* 1. Name:

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* 2. Email:

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* 3. Phone Number (optional)

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* 4. School:

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* 5. Classroom or Club?

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* 6. Class or Club Name (if applicable)

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* 7. Participant Grade Level(s) (select all that apply)

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* 8. Estimated number of students involved.

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* 9. Estimated number of staff and/or guardians involved.

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* 10. Identify the waste reduction issue or problem that students will tackle in their classroom, school, or community. For inspiration, refer to the action projects listed here: Green Star Schools Program Webpage

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* 11. What actions did students take to address the issue or problem mentioned above? What project / activity / program was accomplished to solve the problem or issue?

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* 12. Estimated start date of the program or project.

Date

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* 13. Estimated end date of the program or project (if ongoing, leave blank).

Date

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* 14. What was the result of the program or project? What impact did the project have on your community or school?

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* 15. If submitting images for question #16 with students' faces visible, please download the following form for each student visible and upload to question #16 below.

Media Release Form

If you are not submitting any images with student's faces present, please enter "NA" in the text box.

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* 16. Please provide photos of the program or project.

Note: If student's faces are showing, please make sure to complete one release form (linked above) per student visible, and include it as one of the attachments.

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* 17. Can you estimate (in weight or volume) how much waste was diverted from going to the landfill? If yes, state the results.

For example, ~2 pounds of leftover vegetables and fruit was composted per week via worm composting bin for 6 weeks for a total of 18 pounds of waste composted.

If estimating volume, a standard desk-side recycling bin holds about 7 gallons. For example, we emptied 2 blue bins per week for a total of 6 weeks, equating to 84 gallons of recyclables diverted from the landfill.

Need help with this step? Please contact us at gschwartz@smcgov.org

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* 18. Are you ready to celebrate your students’ success? Required to answer.

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