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NOTE: You are required to do 9 out of 14 of the items listed below in order to be an UP ON GREEN member.

BUSINESS CRITERIA APPLICATION


Yes	No	OUR COMPANY uses high-efficiency lighting approved by Energy Star such as, T8s, T5s, LEDs, CFLs (>75%). Please identify what lights your company is using:
Yes	No	OUR COMPANY recycles paper, plastic, glass, aluminum, batteries, electronics and fluorescent lights throughout the company. We also provide recycling containers in customer areas. Please name the recycling company that you hire for pickup:
Yes	No	OUR COMPANY uses post-consumer recycled paper throughout all office printers, fax machines & copiers. What is the percentage of post-consumer content in your office paper? %
Yes	No	OUR COMPANY manages its temperature with a high-efficiency programmable thermostat and we adjust it to 68 degrees in the winter and 80 degrees in the summer and reduce it to the greatest energy efficient setting possible during non-labor hours.
Yes	No	OUR COMPANY offers incentives for employees to use public transit, carpool, hybrid vehicles or non-motorized transportation. Please note any incentives your company offers to employees using alternative transportation means: . What percentage of your employees are taking advantage of these incentives? %
Yes	No	OUR COMPANY hibernates the monitors on its computers after 5 minutes without use and shuts the computers down completely during non-work hours. (Additionally we keep brightness levels on our screens down to a level that is safe & comfortable for our employee�s eyes, yet at levels that conserve energy.)
Yes	No	OUR COMPANY has removed its name and continues to keep the company off junk mail and catalog lists, which are unnecessary and go unread. (Assign one person in your organization to manage this and to verify the catalog or junk mail company has indeed removed your company�s name.)
Yes	No	OUR COMPANY has installed low-flow and high-pressure plumbing fixtures and maintains the plumbing to prevent leaks, drips and water waste.
Yes	No	OUR COMPANY offers drinking water for employees and guests of our company that isn�t packaged or shipped in plastic.
Yes	No	OUR COMPANY buys locally whenever possible (within a 100 mile radius).
Yes	No	OUR COMPANY offers and/or buys organic, natural, sustainable, and/or renewable products (> 20%).
Yes	No	OUR COMPANY encourages its employees and its suppliers to become UP ON GREEN members.
Yes	No	OUR COMPANY has received an energy audit within the past 12 months to help ensure maximum efficiency in its energy usage. Please list the organization that performed the energy audit for your company and the month/year of the audit:
Yes	No	OUR COMPANY donates and/or volunteers for social and/or environmental betterment organizations. Please list organizations that your company supports.
		Please note whether your company donates and/or volunteers: donatesvolunteersdonates & volunteers

OUR COMPANY USES & PROMOTES THE FOLLOWING CERTIFICATIONS

Energy Star Products & AppliancesLeadership in Energy and Environmental Design (LEED)
Environmentally Preferable Products DatabaseScientific Certification Systems
Forest Stewardship CouncilCertified Sustainable Grown products & consumables
GreenguardUS certified organic farmers
GreensealCoop America
Greenmark

others (please list)