NATIONAL SEARCH FOR SUSTAINABLE & ECO-FRIENDLY SCHOOLS
(A Recognition Awards for Sustainable & Eco-Friendly Schools)
ENTRY FORM
Name of School ____________________________________________
Address __________________________________________________
Region _________________________ Category _________________
Contact Person/s ___________________________________________
Contact Number/s __________________________________________
E-mail Address (Pls. write legibly) _____________________________
I. Brief Description of the Environmental Projects or Programs of the school ( not to exceed 200 words)
II. Please check for appropriateness. Please attach corresponding documents/evidence to the items checked. These documents can be photos, or text or videos.
1. Environment-related Aspects of the School’s Policy (20 points)
____________ Vision/mission statement of the school (4 pts)
____________ Environmental Policy (school memorandum or order) (4 pts)
____________ Environmental Policy is communicated to all (4 pts)
____________ Implementing rules and regulations to the environmental policy of the school. (4 pts)
____________Designation of person or a committee to implement environmental programs and projects for the school. (memorandum or order) ( 4 pts)
2. Environment-Friendly School Operations and Presence of Environmental Programs (30 points)
_______ Waste management program (e.g. waste segregation, recycling, composting, presence of Materials Recovery Facility/ System, sale of crafts, compost and other forms of waste recycling, etc.) (4 pts)
_______ Electricity conservation program (e.g. replacement of incandescent lamp with compact fluorescent lamps, turning off of machine when not in use, etc) (4pts )
_______ Paper conservation program (e.g. efficient consumption of paper, presence of paper conservation trays, etc.) (4 pts)
_______ Water conservation program (e.g. repair of leaking faucets, signages, etc) (4 pts)
_______ Pollution prevention program (e.g. air and water pollution prevention, program, ban on entry of smoke-belching vehicles in the campus, presence of signages, etc.) (4 pts)
_______ Greening program (presence of plants, trees, mini-gardens, organic garden, etc) (4 pts)
_______ Environmental awards received (from 2005-2009) (2 pts)
_______ Other environmental programs and natural resources management programs nor mentioned above (e.g. biodiversity conservation program, etc,) (4 pts)
3. Environment-related Features of the School Curriculum (30 points)
i. (for elementary and high school education level)
_______ Integration of environmental themes into the curriculum (10 pts)
_______ Presence of in-service environmental training for faculty members (10 pts)
_______ Presence of environmental support instructional materials for use by teachers and students (10 pts)
ii. (for tertiary level)
_______ Integration of environmental themes into the curriculum (5 pts)
_______ Presence of in-service environmental training for faculty members (10 pts)
_______ Presence of environmental support instructional materials for use by teachers and students (10 pts)
_______ Presence of environmental degree/certificate programs being offered by the school (5 pts)
4. Presence of Vibrant Eco-Organizations in Campus (10 points)
_______ Presence of a functioning eco-club among the students with at least one eco project per school year over the past 2 years (4 pts)
_______ Presence of a support eco club or committee among the parents, teachers and other non-student sector in campus (3 pts)
_______ Allocation of financial and logistical support by the school to the student eco-club (3 pts)
5. Presence of Partners and Linkages in Environment Programs/Projects (10 points)
_______ Linkages with Local Agencies (e.g. DENR or other agencies, LGUs, etc. (5 pts)
_______ Linkages with International Agencies (e.g. UN Environment Programme, UN Development Programme, UNESCO) (5 pts)
Submitted by:
__________________________
Signature over Printed Name
__________________________
Position/Institution
Certified Correct by:
__________________________
Signature over Printed Name
__________________________
Position/Institution
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(Do not write below this line)
Printed Name of Receiver/Date Received:
__________________________________
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