Missouri Green Schools Level III

To complete this form, type your answers in the boxes provided for each question. Do try and stick to the word limit. The box will expand to hold what you type. The number in parentheses corresponds to the number of the item in the USED GRS Nomination Form.

School Name:

Lead Name:

Lead Email:

Sustainability

ENERGY

1 (2). Energy - Has your school reduced its total non-transportation energy use ( ) Yes ( ) No

from an initial baseline?

Baseline Year: / Energy (kBtu / student):
Ending Year: / Energy (kBtu / student):
Reduced kBtu: Baseline Energy – Ending Energy = kBtu / student
%Reduction: Reduced Energy / Baseline Energy = % kBtu / student
Percentage Reduction per Year: % Energy / (Ending Year – Baseline Year) = % kBtu / student / year
How are these reductions documented (i.e. ENERGY STAR, utility bills, school district reports)?

2 (3). Greenhouse Gases - Can your school demonstrate a reduction in ( ) Yes ( ) No

greenhouse gas (GHG) emissions?

Baseline Year: / GHG Emissions (MT CO2e / student):
Ending Year: / GHG Emissions (MT CO2e / student):
Reduced GHG: Baseline GHG – Ending GHG = MT CO2e / student
% Reduction: Reduced GHG / Baseline GHG = % MT CO2e /student
% Reduction per Year: % GHG / (Ending Year – Baseline Year = % MT CO2e / student / year
How were GHG Emissions estimated?
What, if any, offsets were used?

3 (4). Renewable Energy – What percentage of your school’s energy is ( ) Yes ( ) No

obtained from renewable resources?

On-site renewable energy generation: % / Type:
Purchased renewable energy: % / Type:
List any federal or state school energy programs, like USDA Fuel for Schools or DOE Wind for Schools in which you participate:

4 (5). Building - Has your school constructed or renovated building space in the past ten years?( ) Yes ( ) No

Year school was originally constructed ______Total Building Area ______

New Construction (duplicate this section if necessary for different sections of your school)

New Construction Year: / Total Area of new construction:
Certification Year: / % Area that meets a green building standard:
Certification Standard:

Renovation (duplicate this section if necessary for different sections of your school)

Renovation Year: / Total Area of renovation:
Certification Year: / % Area that meets a green building standard:
Certification Standard:

PURCHASING

5 (17). Paper - Is any of your school’s total office/classroom paper sustainably sourced? ( ) Yes ( ) No

% post-consumer
recycled content paper: / % paper from FSC
certified forests: / % chlorine-free
paper:
In 50 words or less, describe any other steps the school takes related to sustainable sourcing of equipment or supplies:

6 (18). Food - Is any of the food purchased by the school organic, local, or environmental ( ) Yes ( ) No

or sustainable in some other way?

If yes, in 100 words or less, describe how the food is environmentally preferable, include the % of food purchased and the type:

Health

NUTRITION AND FITNESS

7 (8). Healthier US Schools – Does your school participate in the USDA’s Healthier( ) Yes ( ) No

Schools Challenge or a similar program?

If yes, in 100 words or less, describe your efforts including the level and year achieved:

Learning

CURRICULUM AND ASSESSMENT

8 (1). Literacy Requirement - Does your school have an environmental or sustainability( ) Yes ( ) No

literacy requirement?

If yes, in 100 words or less, describe the literacy requirement and how it is met:

9 (5). Green Tech/Careers - To what extent are the environment and sustainability used as a context for learning green technologies and career pathways? In the table below, list each grade taught in your school. Then list at least one environmental and/or sustainability curriculum or lesson used in all classes in that grade. You can use the same list as above. In the Career Pathway cell, put the technology or career pathway addressed (e.g. solar power, wind power, recycling, green building, water quality protection, public health, wildlife management, etc.)

Grade / Curriculum or Lesson / Green Technology/Career Pathway

10 (6). A.P. Environmental Science - For schools serving grades 9-12*, do you provide an ( ) Yes ( ) No

A.P. Environmental Science course?

Provide the percentage of last year’s Percentage scoring 3 or above:
eligible graduates who completed the
course during their high school career

*For schools serving grades K-8, points for this question are omitted from the tally and are not used to calculate the school’s percentage.

COMMUNITY ENGAGEMENT

11 (12). Community Engagement - Describe students’ civic/community engagement projects integrating environment and sustainability topics.

In 100 words or less, describe students’ projects:

12 (13). Partnerships - Describe your partnerships to help your school and other schools achieve in the 3 Pillars. Include both the scope (the size and diversity of audiences reached) and impact (what kind of change and how much was there) of these partnerships.

In 100 words or less, describe partnerships related to the environment:
Pillar 1, Sustainability –
Pillar 2, Health –
Pillar 3, Learning -

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