CT Green LEAF Schools - Enrollment Form
Welcome to CT Green LEAF Schools!  We are deeply committed to making it easier for Connecticut’s public and private K-12 institutions (Early Childhood Education coming soon!) to plant, nurture and grow the seeds of environmental literacy in a way that builds more healthy and sustainable communities.

This enrollment form is required to become a CT Green LEAF School and reach the ACORN Level of Achievement.

Complete this form to the best of your knowledge/ability. We will be in touch with you within one week of receipt of your enrollment form. Please contact ctgreenleaf@coeea.org if you have any questions or would like more information.

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Email *
By checking this box, I confirm that I have obtained approval from the principal/head of school to submit this enrollment for the CT Green LEAF Schools program. 
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Required
Principal or Head of School
Contact Information
First Name (Principal) *
Last Name (Principal) *
Work Email Address (Principal)
 *
Work Phone Number (Principal)
format: xxx-xxx-xxxx
 *
Primary School Contact
Please provide contact information for the individual who will act as the main "point-person" for CT Green LEAF Schools communication. 
First Name (Primary Contact) *
Last Name (Primary Contact) *
Work Email Address (Primary Contact)
 *
Primary Contact Role(s) *
Which best describes the role(s) of the Primary Contact? (check all that apply)
Required
Alternate School Contact
In the event we experience difficulty connecting with the Primary Contact (i.e. change of job/role, typo in contact info), please provide contact information for an alternate contact at the school.
First Name (Alternate Contact) *
Last Name (Alternate Contact) *
Work Email Address (Alternate Contact)
 *
School Information
School Name
 *
School District
 *
School Address 
 *
number and street name
School Address
 *
city/town
School Address
 *
zip code
Please indicate the type of area you consider your school to be located within.  
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Does your school have a sustainability/green team and/or coordinator?
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Grade Levels Served (check all that apply)
 *
Required
School Categories (check all that apply) *
Required
Is your school classified as a Title I school?
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Is your school in an Alliance district? *
School Data
Provide percentages for the items below, if any are relevant to your school, district or institution. Data can be found on the Connecticut Report Cards website. 
Number of Students
Percentage Eligible for Free/Reduced Price Meals
Percentage Non-White Students
Percentage English Learners
English Learners (ELs) are students in Grades PK-12 whose proficiency in English is not sufficient to assure equal educational opportunity in the regular school program. 
Percentage Students with Disabilities
Students with disabilities are students with Individualized Education Programs (IEPs) in the district where they are enrolled.
Your School as a Healthy, Productive Learning Environment
The questions below help provide a snapshot of your school's current efforts to Reduce Environmental Impact and Cost, Improve Health and Wellness, and Provide Sustainability and Environmental Education
How far along is your school on a "green scale"?
 *
We have no idea where to start
Sustainability is firmly integrated throughout our school's physical place (buildings/grounds), educational programming, and organizational culture
Water Usage and Conservation:  Does your school use low flush toilets and other water conservation measures?
Clear selection
Conservation and Habitat:  Does your school's landscape include regionally appropriate native plants?
Clear selection
Recycling and Waste Reduction:  Does your school participate in a recycling or waste reduction program?
Clear selection
Sustainable Purchasing:  Does your school apply sustainability principles to purchasing decisions?
Clear selection
Electric Waste:  Does your school reuse or recycle computers and other forms of electronic waste?
Clear selection
Outdoor Air Quality:  Has your school adopted outdoor air quality policies or guidelines?
Clear selection
Buildings and Grounds:  Does your school/district consider sustainability initiatives and principles for renovations and new construction?
Clear selection
Energy & Efficiency:  Does a percentage of your school's energy come from renewable resources?
Clear selection
Composting and Food Waste:  Does your school have a food waste or compost program?
Clear selection
Strategic Sustainability Planning:  Does your school's strategic plan include a sustainability commitment?
Clear selection
Cafeteria Practices:  Does your school's cafeteria or dining service use reusable, recycling or compostable tableware?
Clear selection
School Gardens for Food:  Do you grow any food at your school?
Clear selection
School Gardens for Food:  Do any teachers or student groups utilize produce grown on campus (cafeteria, tastings, special activities)?
Clear selection
School Vehicles:  Is your school/district actively working to provide vehicle transportation that is environmentally responsible and efficient (busses, fleet vehicles)?
Clear selection
Outdoor Learning Environments:  Has your school identified an outdoor learning environment that is integrated into at least 1 academic subject?
Clear selection
Sustainability Education:  Does your school hold sustainability events?  (i.e. assemblies, fairs, summits)
Clear selection
Sustainability Education:  Does your school have student engagement or organizations related to sustainability?
Clear selection
Sustainability Education:  Does your school offer sustainability-related content?
Clear selection
Sustainability Education:  Have teachers at your school participated in or received training on sustainability or environmental education?
Clear selection
Sustainability Education:  Does your school have long-term partnerships with community members or organizations that advance sustainability?
Clear selection
Comments and Permissions
Is there any other additional information you would like to add?
How did you hear about CT Green LEAF Schools?
Do you give CT Green LEAF Schools permission to use your comments/testimonials for promotional purposes? *
Thank you for your submission!
We look forward to beginning this journey with you. A CT Green LEAF Schools representative will be in touch with you within 1 week to confirm your enrollment status. Please reach out to us at ctgreenleaf@coeea.org with any questions.
A copy of your responses will be emailed to the address you provided.
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