Coordinator Registration Form

Oregon Green Schools Association Registration Form

Please complete the form below in order for the school to be officially registered and to order its award. This must be done each time a school certifies or recertifies at any level. Date of certification will be the date processed by Administrative Assistant, and will be on the certificate.

School Name:

School Contact (first/last):

Contact Email:

Principal's Name:

Principal's Email:

School Mailing Address:

City:

Zip Code:

Phone Number:

Fax Number:

School District:

Type of Application:  New Renewing Moving Up

OGS Level and Award:  Entry Level - CERTIFICATE Merit Level - PLAQUE Premier Level - CERTIFICATE and FLAG

If renewing at the Premier level, does the school need a new flag?  Yes No

Date award needed by:

(please allow 7 working days and 14 working days for Merit plaque.)

Sponsoring Hauler:

Upload Logo (JPG format if possible):
(If you haven't already supplied us with one. You may also email us your logo at mail@oregongreenschools.com)

School Photo (JPG format if possible):
(Required for Premier Schools)

Regional Coordinator Information

Coordinator:

Coordinator's Email:

Please fill our the coordinator address section if your contact info has changed since last registration.

Coordinator Address:

City:

Zip Code:

Phone Number:

Award Shipping Information:

Award Shipping Address (if different from above):

City:

Zip Code: