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Apply to join the Hazon Seal of Sustainability!
Institutional Profile
Required fields are marked with:
*
Contact Info
Title
Dr.
Prof.
Rabbi
Rabbanit
Cantor
Kohenet
Your Name
*
Your Name
Your Name
Your Name
Your role at the organization
*
Advisory Board Member
Board/Trustee
Employee
Executive Director
Fellow
Member
Rabbi
Student
Volunteer
Other
Your role at the organization
Email
*
Phone
*
Ext.
Will you be the primary contact for the Hazon Seal of Sustainability?
*
Yes
No
Primary Contact Name
*
Primary Contact Name
First
First
Last
Last
Primary Contact Email
*
Name of Executive Director
Name of Executive Director
Name of Executive Director
Name of Executive Director
Executive Director Email
Additional Green Team Members
Green team members will be included in the Hazon Seal Newsletter email list and will occasionally receive other email communications about Hazon happenings and Seal of Sustainability related programming.
Team Member Name
Team Member Name
Team Member Name
Team Member Name
Team Member Email
Team Member Phone
Add
Remove
Organizational Info
Formal Full Name of Organization
*
Organization's acronym or "nickname"
Organization's Web Address
Address
*
Address - Line 1
Line 1
Address - Line 2
Line 2 (Optional)
Address - City
*
City
Address - State/Province
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland and Labrador
North Carolina
North Dakota
Nova Scotia
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Address - Zip/Postal
Zip/Postal Code
Address - Country
select
United States
Canada
Country
Approx. Number of Staff
*
Approx. Annual Budget
*
$
Mission
Number of Members or Constituents
*
What type of institution is your organization?
*
select
Camp
Chabad
Community Center
Farm
Federation
Foundation
Hillel
JCC
Moishe House
Synagogue
Social Service Organization
School
Other Non-profit
Denomination
*
select
Community-Wide
Conservative
Non-Denominational
Orthodox
Reconstructionist
Reform
Renewal
N/A
Other
Denomination
Please upload your logo here.
*
Drop a file here or click to upload
Choose File
Maximum upload size: 52.43MB
It should be at least 700x700 pixels and either .png or .jpeg.
At our discretion Hazon may use logos, photos and/or Seal of Sustainability Site names on our website, on social media, and in print, with no compensation to the Seal Site or to those in the photos.
*
I Understand
If you cannot upload a logo at this time, please indicate why here.
I will upload a logo.
We do not have a logo.
I do not have access to the logo image file.
Other
Other
Sustainability at Your Organization
Why does your organization want to participate in the Hazon Seal of Sustainability? Have you been doing work on sustainability in the past? (3-5 sentences)
*
Does your organization have an active Green Team / Sustainability Committee?
*
Yes
No
In formation
Defunct / had previously
Which of the following content areas are most relevant to your organization’s sustainability goals? Projects undertaken through the Hazon Seal of Sustainability could involve education, action, or advocacy in these areas. Check up to three.
*
Animal Welfare or Animal Education
Connecting Sustainability with Jewish Ritual / Jewish Learning
Facilities and Energy (e.g., energy/water efficiency upgrades, solar installation)
Food Sourcing; Food Education; Sustainable Agriculture
Gardens
Health and Toxics (e.g., indoor air quality, green cleaning, physical activity)
Transportation (e.g., biking, public transit, idling)
Waste Management (e.g., compost and recycling)
Other
Other
Which institutional stakeholders know about and support this application to the Hazon Seal of Sustainability?
*
Board
Lay Leaders
Rabbi
Top senior executive (e.g. Executive Director, CEO, Principal)
Please note that once accepted to the Hazon Seal program you will be required to submit a Letter of Agreement indicating executive level approval and support.
Has your institution had any prior relationship with Hazon? If so, please explain.
*
How did you hear about the Hazon Seal of Sustainability?
*
There are many ways to approach your sustainability journey. If you have a sustainability project in mind, please share it with us here.
Anything else you would like to tell us?
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Past Green Team Members
P. Team Member Name
P. Team Member Name
P. Team Member Name
P. Team Member Name
P. Team Member Email
P. Team Member Phone
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Annual Certification
Cycle Start Date
Amount Paid
$
Grant Money Received
Projects
Submitted
Completed
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