Apply for A Habitat in Every School Award 
YOU MUST BE A CLASSROOM TEACHER AND YOUR HABITAT MUST BE LOCATED IN FREMONT, NEWARK OR UNION CITY TO APPLY.  YOU MUST CREATE A HABITAT FOR ANIMALS TO VISIT OR LIVE.
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Ohlone Humane Society
A Habitat in Every School APPLICATION

To receive an A Habitat in Every School Award you need to have or create a habitat that will provide at least two of the four habitat elements (food, water, shelter, place for young) and we strongly encourage use of at least one sustainable practice (no chemical pesticides or using native plants).

If your outdoor space qualifies (can be a patio, windowsill, container or balcony habitat) please complete the form below to receive the award you can print out to recognize your school habitat.

Please see the instruction booklet and educational e-booklet on habitats mentioned on the Humane Education webpage.


Teacher's First Name and Last Name 

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School Name
Grade of Students


Address of Habitat INCLUDING STREET, CITY AND ZIP CODE


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Why do you want to create a sustaining garden habitat in your space?

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Required

FOOD

Feeders can be used as a supplemental source of food and part of an ecosystem. How do you provide food?

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Required

SHELTER

Migrating animals and beneficial insects need places to find shelter from the weather and predators. Tell us how you provide cover.(check all that apply)

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Required

WATER How are you supplying water to your habitat?

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Required

Places to Raise Young (If you do not. have places, please state do not have space or NA)

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Sustainable Practices: Tell us how you are conserving resources for animal habitats.

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Required

Plants: Please estimate the number of different native species of plants in your habitat (for lists of native plants see your local nursery.) If not using native plants, write NA

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Please share anything else you would like us to know about your habitat.

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CLASSROOM PROJECT: Share your habitat photos or drawings with us by completing the consent below and send the photos or drawings through email to humane_education@ohlonehumanesociety.org

TEACHER CONSENT: I am over 18 years old and give my consent. I give Ohlone Humane Society, Inc (OHS), its representatives and agents, the absolute right and permission, as described below, to use information and other materials, including without limitation, my name, location, classroom, images of students without names as given permission to me to appear in media by parents, my statements, a personal interview, my image, and any voice recording, including excerpts of such information. This information is known as OHS “materials.”

I understand that the OHS materials will be used for education and promotional purposes. I understand that OHS materials may be used in print media, on the internet and other electronic media, video and audio recordings and other media, for any period of time and anywhere in the world. I understand that my consent cannot be canceled or changed once OHS materials are published.  I understand that neither I nor any student or family will receive monetary compensation. I understand that I will not be reviewing or approving the draft or final product resulting from the use of my materials. I am of adult age and authorized to sign this consent with OHS. I have read, or I have been read, this consent before signing it, and I understand this consent.

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By submitting this form, it serves as my legal consent to the above statements. Submitting this form electronically serves as my signature. By submitting this form, I consent to the use of my contact information by and to receive emails from representatives of Ohlone Humane Society. I understand I can revoke my consent to receive emails at any time by emailing privacy@ohlonehumanesociety.org.



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Date of Consent & Submission

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