Green Partners environmental education activity supplies order form

Contact information

Organization name:

*

Address:

*

City:

*

State:

*

Zip:

*

Contact person:

*

Phone:

Enter as ###-###-####

*

Email:

*

Is your organization a current grantee of the following programs:

Green Partners (Root or Branch group)
Community POWER
Not a current grantee

*

Participant information

Number of participants:

*

Ages of participants (check all the apply):*

Activity supplies needed

Date supplies are needed:

Enter as MM/DD/YYYY

*

Quantity - spray bottles:

Quantity - reusable tote bags, white:

Quantity - reusable zip tote bags, blue:

Explain the need for these supplies and how they will be used to plant the seed for environmental awareness and action with your audience:

Indicate how the supplies will be used in specific activities related to environmental education. Supplies must be used in conjunction with a Hennepin County environmental education activity guide or closely related activity.

*

Would you prefer to pick up your supplies?

Yes
No

*

Hennepin County, Minnesota

Green Partners environmental education activity supplies order form

Environmental education activity supplies order form