PLANETPEOPLE FOUNDATION

GREEN SCHOOL ACTION PLAN

Application Form for School Participation

A. SCHOOL INFORMATION

1. Name of the School: _______________________________________________

2. School Address: _________________________________________________

City: _______________________ State: ____________________________

PIN Code: ___________________

3. School Website: _________________________________________________

4. School Email: _________________________________________________

5. School Telephone: ______________________________________________

B. MANAGEMENT DETAILS

Name of the Principal: _____________________________________________

Mobile Number: _________________________________________________

Email: _________________________________________________________

C. GREEN SCHOOL COORDINATOR

Name: _________________________________________________________

Designation: _________________________________________________

Department: _________________________________________________

Mobile Number: ________________________________________________

Email: ________________________________________________________

D. SCHOOL PROFILE

Year Established: ___________________

Board Affiliation: ☐ CBSE ☐ ICSE ☐ State Board ☐ IB ☐ Cambridge ☐ Other __________

Type of School:
☐ Government
☐ Government Aided
☐ Private
☐ Residential
☐ International

Classes Offered:
☐ Pre-Primary
☐ Primary
☐ Middle School
☐ Secondary
☐ Higher Secondary

Total Number of Students: ______________________

Total Number of Teaching Staff: __________________

Total Number of Non-Teaching Staff: _______________

Campus Area: __________________________

E. ENVIRONMENTAL STATUS

Does the school currently have:

Initiative

Yes

No

Green Club / Eco Club

☐

☐

Waste Segregation

☐

☐

Compost Unit

☐

☐

Rainwater Harvesting

☐

☐

Solar Power

☐

☐

Herbal Garden

☐

☐

Butterfly Garden

☐

☐

Tree Plantation Programme

☐

☐

Plastic-Free Campus Policy

☐

☐

Energy Conservation Programme

☐

☐

F. ENVIRONMENTAL CHALLENGES

Please identify the major environmental issues faced by your school.

☐ Plastic Waste

☐ Solid Waste Management

☐ Water Conservation

☐ Energy Conservation

☐ Lack of Green Cover

☐ Air Pollution

☐ Noise Pollution

☐ Biodiversity Conservation

☐ Climate Awareness

☐ Other ___________________________________

G. EXPECTATIONS FROM THE PROGRAMME

What are your expectations from the Green School Programme?

H. PARTICIPATION COMMITMENT

We agree to:

☐ Form a School Green Council.

☐ Nominate a Teacher Coordinator.

☐ Support student participation.

☐ Conduct an Environmental Audit.

☐ Implement the Green School Action Plan.

☐ Allow periodic monitoring by PlanetPeople Foundation.

☐ Share photographs and reports for documentation.

☐ Participate in the Green School Assessment.

I. DECLARATION

We hereby confirm that the information provided in this application is true and correct to the best of our knowledge. We agree to actively participate in the PlanetPeople Foundation Green School Programme and work towards creating a sustainable and environmentally responsible campus.

Principal

Name: ____________________________________

Signature: _________________________________

Date: _____________________________________

School Seal

Green School Coordinator

Name: ____________________________________

Signature: _________________________________

Date: _____________________________________