Students4H2O membership application
Thank you for your interest in joining Students4H2O! Our mission is to create a sustainable community and planet by empowering kids and saving the Earth, one student at a time.
If you have any questions while filling out your application, please email Adriana Mancini at adriana@Students4H2O.org
Hope Center For Autism
St. Joseph Catholic School
Lincoln Park Academy
Student phone number
Student email address
Parent phone number
Parent email address
Students: what is the best way for us to contact you?
Parents: what is the best way for us to contact you?
Why do you want to become a member of Students4H2O?
On 25 September 2015, 193 countries adopted a set of 17 Sustainable Development Goals to end poverty, protect the planet, and ensure prosperity by 2030. Which Global Goals do you feel most passionate about? (CHECK ALL THAT APPLY)
Global Goal 1: No Poverty
Global Goal 2: Zero Hunger
Global Goal 3: Good Health
Global Goal 4: Quality Education
Global Goal 5: Gender Equality
Global Goal 6: Clean Water and Sanitation
Global Goal 7: Renewable Energy
Global Goal 8: Good Jobs and Economic Growth
Global Goal 9: Innovation and Infrastructure
Global Goal 10: Reduced Inequalities
Global Goal 11: Sustainable Cities and Communities
Global Goal 12: Responsible Consumption and Production
Global Goal 13: Climate Action
Global Goal 14: Life Below Water
Global Goal 15: Life On Land
Global Goal 16: Peace and Justice
Global Goal 17: Partnership for the Goals
Why are you passionate about the Global Goals you selected?
Is there anything else you would like us to know about you?
Student electronic signature
Parent electronic signature
Never submit passwords through Google Forms.
This form was created inside of Students4H2O, Inc..