Green Apple Day of Service Project Registration Form Thank you for participating in the 2014 Green Apple Day of Service! We strive to support your efforts in creating healthy and high-performing schools and communities as much as possible. Please complete the short registration form below so that we can track and celebrate your successes. Note that you may only register one project at a time. Question Title * 1. Event Type Beautification Energy Conservation Water Efficiency Biodiversity & Ecology Health & Nutrition Air & Water Quality Outdoor Learning Other (please specify) Question Title * 2. Event Description Question Title * 3. Event Date(s) Start Date Date End Date Date Question Title * 4. Location School or Community Name Address (optional) City State Zip Code Question Title * 5. Project Contact Info Primary Contact Person Phone Number (optional) Email Address Question Title * 6. Would you like assistance from the Green & Healthy Schools Academy in implementing your project? Yes No If yes, please explain: Question Title * 7. May we contact you about other Green & Healthy Schools Academy programs, events and activities? Yes No Question Title * 8. May we register your project with the USGBC Center for Green Schools? If so, the project will appear on a map of all Green Apple Day of Service projects taking place around the world. Yes No Question Title * 9. Enter any additional information or comments here. Done