Green Partners environmental education activity supplies order form

* = required field

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