Providence Climate Agreement Pledge Form
Fill out this pledge form to be a part of the Providence Climate Agreement! Mindful of the effects of climate injustice on the cosmos, Earth, and its people, particularly the most vulnerable, we commit to work against climate injustice by collectively reducing Carbon Dioxide (CO2) emissions by 2 million pounds by June 2019, and by advocating for strong environmental policy.

Find answers to frequently asked questions about the Providence Climate Agreement here:
https://spsmw.org/wp-content/uploads/2018/11/CCTF-PCA-Pledge-Form-FAQ.pdf

Email address *
Name *
Your answer
Pledges
Select every NEW action you pledge to take during this year:
I will plant __ trees
(25 lbs annual carbon emissions reduced per tree)
Your answer
I will reduce my laundry by __ hot or warm washer loads/week
This could be changing to cold water, or eliminating a warm/hot load entirely. (100 lbs annual carbon emissions reduced per weekly load)
Your answer
I will reduce my non-recyclable solid waste by __ gallons per week
(104 lbs annual carbon emissions reduced per weekly gallon of trash)
Your answer
I will set my water heater to 120 degrees F
(150 lbs annual carbon emissions reduced)
I will replace __ incandescent light bulbs with Compact Fluorescent Lightbulbs (CFLs)
(185 lbs annual carbon emissions reduced per bulb)
Your answer
I will replace __ incandescent light bulbs with LED Bulbs
(260 lbs annual carbon emissions reduced per bulb)
Your answer
I will install a low-flow shower head
(250 lbs annual carbon emissions reduced)
I will reduce my laundry by __ dryer loads per week
(260 lbs annual carbon emissions reduced for each weekly dryer load eliminated)
Your answer
I will reduce shower time to 5 minutes
(300 lbs annual carbon emissions reduced for one person)
I will turn my thermostat down __ degrees F from what I usually have it in winter
(500 lbs annual carbon emissions reduced for each degree Fahrenheit)
Your answer
I will turn my thermostat up __ degrees F from what I usually have it in summer
(500 lbs annual carbon emissions reduced for each degree Fahrenheit)
Your answer
I will use power strips or unplug to turn my appliances all the way off
(600 lbs annual carbon emissions reduced)
I will switch from meat to vegetarian __ days per week
(700 lbs annual carbon emissions reduced for each weekly day switched to vegetarian)
Your answer
I will recycle 100% of household recyclables
(1300 lbs annual carbon emissions reduced)
I will buy __ lbs of carbon offsets
(Enter any number of lbs of carbon offsets you will buy. See www.carbonfund.org for how to buy offsets as an individual or organization.)
Your answer
Do Even More
I will replace my TV with an Energy Star TV
(75 lbs annual carbon emissions reduced)
I will replace my dishwasher with an Energy Star dishwasher
(125 lbs annual carbon emissions reduced)
I will insulate my hot water heater
(175 lbs annual carbon emissions reduced)
I will tune up my furnace
(300 lbs annual carbon emissions reduced)
I will replace my washing machine with an Energy Star front load clothes washer
(500 lbs annual carbon emission reduced)
I will replace my refrigerator with an Energy Star refrigerator
(500 lbs annual carbon emissions reduced)
I will replace my air conditioner with an Energy Star air conditioner
(600 lbs annual carbon emissions reduced)
I will thoroughly seal the air leaks in my home
(800 lbs annual carbon emissions reduced)
I will install storm or high-efficiency windows
(800 lbs annual carbon emissions reduced)
I will insulate my walls and attic
(1200 lbs annual carbon emissions reduced)
I will replace my furnace with an energy efficient furnace
(2400 lbs annual carbon emissions reduced)
I will install a solar hot water heater
(2500 lbs annual carbon emissions reduced)
I will also...
Enter additional actions you will take not on this pledge list. Enter the estimated carbon emissions reduced annually (if you know it) in the next question.
Your answer
...for ___ lbs carbon reduction
Enter here the estimated annual carbon emissions reduction (if you know it) for what you pledged to do in the previous question.
Your answer
Transportation
I will keep my car engine tuned up and maintain tire air pressure
(1500 lbs annual carbon emissions reduced)
I will reduce my driving by 20%. The estimated miles I drive per year is _____
To make this pledge you must also answer the next question.
Your answer
I will reduce my driving by 20%. My car's miles per gallon is _____
Your answer
I will purchase a more efficient car. My current car's emissions is (miles I drive per year) ÷ (my car’s mpg) x 20 = __
To make this pledge you must also answer the next question.
Your answer
I will purchase a more efficient car. My new car's emissions is (miles I drive per year) ÷ (new car’s mpg) x 20 = __
Your answer
Additional Pledges
"pray" = I pledge to pray for and with Creation. "green my investments" = I pledge to green my investments by divesting from fossil fuel companies and investing in renewables or climate solutions. "advocate" = I pledge to advocate for legislation that promotes climate justice. "support political candidates" = I pledge to support political candidates who stand for climate justice.
What support or resources would help you to meet your pledge, or pledge more carbon reduction?
Your answer
Additional notes/comments:
Your answer
For More Help
For more help, including how to find your vehicle’s average miles per gallon, how to calculate your annual miles travelled, and how to reduce how much you drive, see the book: Gerson, David. Low Carbon Diet: a 30-Day Program to Lose 5,000 Pounds. Empowerment Institute, 2006.
A copy of your responses will be emailed to the address you provided.
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