TexasWoman’sUniversityGreenRoomCertificationApplication
Name________________________ Hall&Room_________________________ Date_______________
Email_______________________________________
Foreachstatement,checktheboxnexttoitifyoutakethatactioninordertobemoresustainable.Ifyoudo
nottakethataction,leavetheboxunchecked.Ifanoptiondoesnotapplytoyou,discussitwithyourRAat
theroomchecksotheoptionwillnotcountagainstyou.Youwillneedaminimumof20optionsselectedand
approvedfortheminimumlevelofcertification.Youwillberequiredtoshowprooforexplainwhyyouhave
checkedtheboxesyouhave,aswellashaveageneraldiscussionwithyourRA.Thismayrequireyoushowing
yourRAcomputerpowersettingsandlookingaroundyourroom(withyoupresent).
Mandatory
IhaveatleastonerecyclingbininmyroomandIrecycleproperlybycleaningofffoodresidueandonly
recyclingapproveditems.
Energy
Iusecompactfluorescentlightbulbs(CFL)orlightemittingdiode(LED)bulbsindecorativelighting
Iunplugelectronicitems(powerchargers,lamps,etc.)AND/ORturnoffthepowerstriptheyare
pluggedintowhenIamnotusingthem
IhaveatleastoneEnergystarorEPEATcertifiedappliance
Idonothaveaminifridge
Idonothaveamicrowave
IshutdownmycomputerwhenIamnotusingit
Ihaveasleepsettingonmycomputersettoactivateafter5minutesorless
Iusethepowermanagementsettingsonmycomputer
Iopentheshadesorcurtainstoutilizenaturallightduringtheday
Iuseadryingrackforatleast40%ofmyclothing,insteadofadryer
Iturnthelightsoffbeforeleavingaroom,includingpublicbathroomsandcommonareas
Itakethestairsinsteadofanelevator
Water
Iturnoffthewaterwhilebrushingmyteeth
Ialwaysshowerfor5minutesorless
Iuselukewarmwaterwhenshowering
IusecoldwatersettingswhenIwashmylaundry
Iwashonlyfullloadsoflaundry
Iusegreenlaundryproductsfreeofsyntheticfragrancesanddyes,phosphates,bleachandsurfactant
nonylphenolethoxylate
Idonotusefabricsoftener
CarbonFootprint
Iamvegetarian,vegan,orImakeanefforttolimit/reducetheamountofdairyandmeatIeat
Iwalkorbikewheneverpossible
Itakepublictransportationinsteadofdrivingacar
Itrytocarpoolwithotherswheneverpossible
Iusearidesharingwebsitewhentravelingtootherpartsofthestate/country
Icompostfoodwaste(suchas:coffeegrounds,fruitandvegetablescraps,napkins,etc)
Ibuyfoodlocallyfromfarmer'smarketsorchooselocallygrownfoodfromgrocerystores
Ibuyorganicgoods
Reducing,Reusing,Recycling
IuseareusableBPAfreestainlesssteelorplasticwaterbottle
IhavedonateditemsIdon'tneedtoredistributionorganizations
Ihavethrifted,homemade,and/or"secondhand"itemsinmyroom
Ibuyelectronicinsteadofhardcopybookswheneverpossible
Idisposebatteriesandelectronicssafely
Ihaveacollectionofscrappaper/paperwithprintingononeside,toreuseforprintingorotherneeds
Iusereusableshoppingbagswheneverpossible
Iusereusablecups,plates,andsilverwareinmyroom
Ionlytake/prepareasmuchfoodasIamabletoeat
Iclean/dustwithragsinsteadofpapertowels
Whenwashingmyhands,IshakethewateroffsoIonlyneedonepapertowelorIdonotdrywith
papertowels
Ibuyitemsthatarenotindividuallypackagedwheneverpossible
Involvement
Itake,orhavetaken,sustainabilityrelatedcoursesincollege
Ihavehelpedwithorhaveparticipatedinasustainabilityrelatedeventinmycommunity
Ivolunteerforasustainabilityrelatedextracurriculargroup
Ihaverecentlywatched(orplantowatch)asustainabilityrelateddocumentary(Food,Inc.,Gasland,
Earthlings,AnInconvenientTruth,Tapped,etc).
IhavetalkedtoatleastonepersonwhoisinterestedinpursuingTWU'sGreenRoomCertification
Program,orIplantointhenextthreedays.
Pleaseprintthisform(youwillget1bonuspointforprintingitononesheetofpaper!)andturnitintoyour
RAaftercompletion.Theywillcompletetherestoftheprocesswithyouatanagreedupontime.
RAUSEONLY
Total:_____/45 Certification(circleone):Bronze(20+)Silver(30+)Gold(40+)
PrintName______________________________
SignName_______________________________Date__________________
RAs:PleasereturnthisformtoJillEckardtattheHousingOfficetocompletetheapplicationprocess.