Hennepin County Environmental Partners application

* = required field

Fill out the section for each decal you are applying for. There are four decals available: We Recycle, We Compost, We Donate Food and We Feed Animals.

Contact information

Organization name:

Address:

City:

State:

Zip:

Website:

Contact name:

Phone number:

Email:

We donate food

My business is applying for a We Donate Food decal.

Yes, fill out the rest of this section.
No, go to the next section.

Where do you donate your edible food?

Provide contact information, including name, phone and email, for each organization you donate to:

Size of food donation containers:

Number of containers donated:

Frequency of pickup for donation:

e.g.: once per month, twice per week, etc.

We feed animals

My business is applying for a We Feed Animals decal:

Yes, fill out the rest of this section.
No, go to the next section.

Where do you send your food waste?

Provide contact information, including name, phone number and email, for each organization you send food waste to:

Is food waste collection available to employees?

Yes
No

Is food waste collection available to customers?

Yes
No
Not applicable

Are collection bins clearly labeled?

Yes
No

Size of food waste dumpsters and/or carts:

Number of containers for food waste:

Frequency of pick up:

e.g.: once per month, twice per week, etc.

Additional sustainability efforts

Provide information about any waste reduction, energy efficiency, green purchasing or other sustainability activities your organization engages in:

Does the organization include solid waste management in its training of new employees?

Yes
No

Certification

I certify

I certify that this document and all attachments were prepared under my direction or supervision in accordance with a system to assure that qualified personnel properly gather and evaluate the information submitted, and that the statements and information in the document are true, accurate and complete.

I further certify that to the best of my knowledge, the facility is in compliance with all applicable environmental regulations as set forth by Federal, State and local agencies, and understand that any non-compliance or change in current practices may result in the revocation of the Hennepin County Environmental Partner award.