Teacher Response FormNote: Fields marked with "*" are required. School Name * School Street Address * Address 2 City * State * Zip Code * Contact * First Name Last Name * Last Name Telephone Number * Email * Participating Grade(s) * Number of students who participated in THE GREEN TEAM activities. * Time spent * Certificates of Recognition are formatted as "Awarded to Ms./Mr. (teacher's name)'s Students." If you would like your certificate written out to a different name (eg, "South High School Green Team"), please enter that name here: Please record which activities your class completed. Level One How many students took the GREEN TEAM pledge? Please check which Level 2 activities your class completed: Level 2 Activities 1 Climate Change Scorecard Slash Trash Report Wrote letters or news articles Created recycling signs & posters Used THE GREEN TEAM library Other Level 2 Activities 2 Lightbulb Lesson and Energy Reduction Pledge Idling Reduction Pledge Designed an energy-efficient vehicle Researched energy-efficient automobiles 'Give your Car a Break - Trip Tally' If you selected "other" above, please describe the activity. Please describe the results: Please check which Level 3 activities your class completed: Level 3 Activities 1 Calculated carbon footprint at home or school Planted a tree or garden Waste free day Set up a classroom or outdoor compost bin Set up a school recycling program Held a school rummage sale or drive Other Level 3 Activities 2 Project to 'green' school or community Helped protect rain forest or natural area Made school an Idle-Free Zone Built a prototype vehicle Created Safe Routes to Schools program Collected Textiles If you selected "Collected Textiles" above, please note how many pounds of textiles you collected. If you selected "other" above, please describe the activity. Please describe the results: How did your class benefit from the activities? Will your class participate in THE GREEN TEAM next year? Yes No Additional comments If you have photos or other materials to share, either hard copies or digital, please send them to recycle@thegreenteam.org for possible inclusion in future GREEN TEAM newsletters, materials or on our website. Δ For questions about this form, please contact recycle@thegreenteam.org.