Your Name:

Email (REQUIRED):

School Name:

School District:

School Mailing Address:

School Phone Number:

School Web Page Address:

Green Steps Administrator:

Administrator E-Mail Address:

Green Steps Teacher:

Teacher E-Mail Address:

Other Green Steps Staff/Volunteer(s):

Current Green Steps Goal:

Environmental Mentors Name(s)/Title(s):

Green Steps Project Plan (include a time line with steps):

Three additional environmental projects that your Green Steps team has or hopes to establish over time (see Project pages for ideas):