2018-19 Green Schools Quest Final Submission Form
Complete and Submit all fields found in the form below. Contact hope.gribble@mobot.org with any questions.
Email address *
School Information
School *
Name of Individual Filling out this Form *
Project Participant Information
Participating Grade Levels *
Select all that apply.
Required
Project Led By
If multiple grades levels participated, though the project was led by specific grades level, please specify the grade levels that led the project. Select all that apply.
Participating Group *
Number of Student Participants *
Those directly involved with the project.
Number of Faculty/Staff Participants *
Those directly involved with the project.
Project Title & Summary
Please provide a title for your project *
Six word maximum.
Please provide a brief description of your project *
100 words or less.
Project Type/Primary Focus *
Which of the options below best describe your project's area of focus. Check all that apply.
Required
Impact
Estimated Number of Students Impacted (beyond direct participants) *
This number is in ADDITION to the number of student participants recorded above.
Estimated Number of Faculty/Staff Impacted (beyond direct participants) *
This number is in ADDITION to the number of faculty/staff participants recorded above.
Estimated Number of Community Members Impacted (beyond direct participants) *
This may include parents, residents, etc. within the community. This number is in ADDITION to those recorded in the previous fields.
Total Resources Saved *
Could be in the form of weight, volume, count, etc
OPTIONAL: Focus of the Year
Each year, USGBC-MGC will establish a ‘Focus of the Year’ theme for the Green Schools Quest as an OPTIONAL area of focus for participants who would like to be considered for the 'Focus of the Year' award.. To be considered for the 2018-19 Energy-themed Focus of the Year award, schools must submit 150 words or less describing how their project relates to Energy.
Describe How Your Project Related to the Focus of the Year
150 words or less.
File Uploads
1 - 2 Page Written Report
Please upload a 1 - 2 page written report (PDF or Word Document) detailing your project as a compliment to your video submission.
Video or Digital Presentation (Maximum of 5 minutes)
Photo Release Forms
A photo release for every student in the digital presentation must be submitted. Please upload one of the following two options: 1) an Individual Photo Release Form for each student signed by his/her parent/guardian, or 2) a Certificate of School Official photo release upon which a school official certifies that the school/district has secured and has on file all appropriate image release and permission agreements and consents from parents/guardians of school children who appear in the school’s submission. THIS ONLINE FORM CAN ACCEPT A MAXIMUM OF 10 PHOTO RELEASE FILES; IF YOU HAVE ADDITIONAL FILES, THEY MAY BE EMAILED DIRECTLY TO USGBC-MOGATEWAY@MOBOT.ORG.
School Sustainability Tracking Survey
Under the ‘Sustainability Tracking Survey’ portion of the scoring rubric, you will receive 5 points for completing/submitting this survey, or 0 points for NOT completing/submitting this survey.Performance, as reflected in your survey response, does not affect the score of your submission.
Online form or upload? *
School Sustainability Tracking Survey File upload, if applicable
If you have chosen to scan and upload your survey rather than submit it online, please do so here.
Signature
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Signature
By typing your name below you acknowledge this information is original, accurate, and verifiable.
A copy of your responses will be emailed to the address you provided.
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