Oregon Green Schools - School Registration

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.

All required fields are in BOLD.

School Name:
School Contact (First/Last):
Contact Email:
Principal's Name:
Principal's Email:
School Mailing Address:
City:
ZIP Code:
Phone #:
FAX #:
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:
[NOTE] Please send us a copy of the hauler's logo image via email to mail@oregongreenschools.com email

Regional Coordinator Information:
Coordinator & Agency
Coordinator's Email:
Please fill out the coordinator address section if your contact info has changed since last registration.
Coordinator address:
City:
ZIP Code:
Phone #:
Award Shipping Information:
Award Shipping Address (if different from above):
City:
ZIP Code: