1
MICHIGAN GREEN SCHOOL
Application 2018-2019
Applications will be accepted between
January 1
st
and March 1
st
, 2019
The document, in hard copy or email, must be sent to your county coordinator. County Coordinators can be located
at http://www.michigangreenschools.us/contact.html. If your county does not have a coordinator please contact Kristine
Moffett at kristinemoffett@outlook.com.
A school is eligible to receive a Green School, Emerald School, or Evergreen School Environmental Stewardship Designation if the school or students
perform the required number of activities, with a minimum of two activities from each of the four categories. The activity requirements for each
level of environmental stewardship designation are as follows:
a) Green School 10 total activities with at least two activities from each of the four categories
b) Emerald School 15 total activities with at least two activities from each of the four categories
c) Evergreen School 20 total activities with at least two activities from each of the four categories
Activities are listed in the table on the page that follows. Different activities are denoted by different letters under each category. In addition to the
activities listed in the table, a school may design and propose another activity (listed as “other” in the table), which may qualify toward an
environmental designation, alternate activities must be approved by your Michigan Green School County Coordinator by December 1
st
.
2
Name of School:
Category 1: Recycling
Category 2: Energy
Category 3: Environmental
Protection
Category 4: Miscellaneous
Category
A. Recycling Program for at
least 2:
Office Paper
Plastic
Metal Cans
Printer Cartridges
Newspapers and
Magazines
Cell Phones
Cardboard
Fabric and Clothing
Compact Disks and
Digital Video Games
Glass
B
. Composting Food and
Organic Wastes
C
. Waste-free Lunch Program
D
. Implementing a policy to buy
recycled, biodegradable,
locally produced, or less toxic
food and school supplies
E. O
ther:
F. O
ther:
G. Other:
A. Offering at least one teaching
unit on alternative energy
B
. Using alternative energy,
renewable fuels, or
specialized energy-efficient
technology in school
operations
C
. Implementing a school
energy-saving program
D. Performing energy audits at
student homes and educating
student families and the
community
E. Taking part in a project or
event to promote improved
vehicle fuel efficiency
F. S
ponsoring an alternative
energy presentation, project,
or event
G
. Other:
H. Other:
I.
Other:
A. Participating in activities
promoting the health of the
Great Lakes watershed
B
. Offering a teaching unit on
environmental issues facing
this state
C. Establishing or maintaining a
natural Michigan garden
project with native plants
D
. Establishing or maintaining
an animal habitat project
E. P
articipating in a local
community environmental
issue by activities such as
letter-writing, raising funds,
or community outreach
F. O
ther:
G. Other:
H. O
ther:
A. Adopting an endangered or
threatened species and
publicizing the activity.
B. Hosting an environmental or
energy speaker, event or
field trip.
C. Establishing a student
organization that participates
in environmental activities
D. Observing earth day by
participating in an earth day
event in April
E. Maintaining an updated
bulletin board or kiosk with
information on
environmental concerns and
the school’s actions in
addressing those concerns
F. Establishing an eco-reading
program
G. Updating the school’s media
center environmental
materials
H. Visiting internet sites that
educate about the
environment and support
endangered ecosystems
I. Other:
J. Other:
K. Other:
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** School Administrator Must Sign Application. Please See Last Page. ***
Briefly document each of the activities (points) from the table that your school or students completed. Please describe what was done
to achieve a specific point, who was involved, when and for how long was the activity done, and any special achievements un each
point. Please enclose any pictures of activities for the statewide newsletter and website.
Green School 10 Points/Activities Emerald School 15 Points/Activities Evergreen School 20 Points/Activities
Point 1:
Category: Activity:
Insert your description below:
Point 2:
Category: Activity:
Insert your description below:
4
Point 3:
Category: Activity:
Insert your description below:
Point 4:
Category: Activity:
Insert your description below:
5
Point 5:
Category: Activity:
Insert your description below:
Point 6:
Category: Activity:
Insert your description below:
6
Point 7:
Category: Activity:
Insert your description below:
Point 8:
Category: Activity:
Insert your description below:
7
Point 9:
Category: Activity:
Insert your description below:
Point 10:
Category: Activity:
Insert your description below:
8
Point 11:
Category: Activity:
Insert your description below:
Point 12:
Category: Activity:
Insert your description below:
9
Point 13:
Category: Activity:
Insert your description below:
Point 14:
Category: Activity:
Insert your description below:
10
Point 15:
Category: Activity:
Insert your description below:
Point 16:
Category: Activity:
Insert your description below:
11
Point 17:
Category: Activity:
Insert your description below:
Point 18:
Category: Activity:
Insert your description below:
12
Point 19:
Category: Activity:
Insert your description below:
Point 20:
Category: Activity:
Insert your description below:
13
Additional Comments/Suggestions to improve the Michigan Green Schools Program:
Please print legibly if handwritten
School Name:
Town:
Principal’s Signature:
Principal’s Name:
Principal’s Phone Number:
Principal’s Email Address:
Building Coordinator:
Program Coordinator’s Name:
Program Coordinator’s Phone Number:
Program Coordinator’s Email Address:
Date: