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Council on Environmental Standards
Membership Application
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Personal Information
First Name
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Last Name
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Job Title
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Address
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City - State/Province/Region
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Zip/Postal Code
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Phone with Country Code
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eMail
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Company/Organization Contacts
Marketing Contact... Our Marketing Team will add your company or organization to our website. You may decide when you want to publicly announce your membership. Please provide the name and contact information for your lead marketing contact who can assist with this process.
Marketing Contact is the same as the Primary Contact.
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Marketing Contact Name: First, Last, Job Title
Your answer
eMail and Phone with Country Code
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Finance Contact: Who do we contact for billing information, and where do we send the invoice and our vendor information to enable your proper staff to establish us as a vendor?
Finance Contact is the same as the Primary Contact.
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Finance Contact Name: First, Last, Job Title
Your answer
eMail and Phone with Country Code
Your answer
Billing Address: Street, City, State, Zip
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Executive Contact: Who is your company or organization’s executive level contact to reach out to for leadership statements and quotes, guidance input, and/ or Council board and/or other leadership opportunities?
Marketing Contact is the same as the Primary Contact
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Executive Contact Name: First, Last, Job Title
Your answer
eMail and Phone with Country Code
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Executive Office Lead Assistant’s Name
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eMail and Phone with Country Code
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Company/Organization Details
Company/Organization Name
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Address: Street, City, State, Zip
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Website
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Phone
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About Your Company/Organization
Industry Type (Check all that apply)
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Automotive OEM
Automotive Repairs
Automotive Fleet Sales
City/Municipality
Commercial/Residential Development
Construction
Consumables Provider (foods & beverages, medical, pharmaceuticals, personal care, furnishings, etc.)
Energy Provider
Environmental Regulatory Agency
Environmental Services
Gas/Oil Provider
Government Entity
Heavy Equipment OEM/Sales
Heavy Equipment Repairs
Infrastructure Construction
Insurance Agency
Manufacturing
Military/Defense
Mining
Other Industry or Service
Required
Company/Organization Established Sustainability Protocols: Tell us about your company/organization’s existing sustainability commitment, programs, procedures and tools in place to ensure optimum environmental performance. Applicant’s environmental protocols must currently encompass a minimum of 80% of the listed criteria. Or, the applicant must agree to attain minimal compliance by the end of the first year of membership. Check all that apply:
Commitment to Sustainability
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We have a written living, flexible, and changing sustainability plan that encompasses proven protocols and advancements.
Our commitment to protecting where we work and live is actively demonstrated throughout our company/organization.
We are committed to networking with like-minded providers to ensure integrated environmental performance.
Required
Established Protocols
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Monitoring and responsiveness to environmental regulatory agencies’ updates and directives.
Proactive research, development, and implementation of applicable environmental performance advancements.
Regular corporate environmental updates with internal and external communities via electronic and/or printed media.
Corporate self-assessment of maintenance shop, plant operations, and equipment environmental performance.
Outsourced audits of maintenance shop, plant operations and equipment environmental performance.
Timely follow-ups to ensure swift resolution of identified issues.
Use of an internal incident alert notification system.
Required
Tools and Methods
Use of a self-contained, spill-free used fluid management system:
Sealed shop floor to prevent seepage of used automotive and equipment fluids into soil and ultimately ground water.
Use of used fluids transfer system that eliminates drain pans in shops
Alternative energy-powered vehicles and/or equipment
Clear selection
Name of System(s) in use and/or Type of Energy
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Training
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Environmental Compliance Training for all front-line employees.
Environmental Performance Training Program for site management.
Environmental Training and Certification Program for automotive, equipment and machine maintenance technicians
Annual Environmental Conference and Training Seminars and Classes
Professional Growth and Development Plans for technicians, drivers, operators and facility maintenance staff
Master Mentoring Program offering training for new staff members
Out-Sourced Training
Required
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I understand that checking this box constitutes a legal signature.
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Electronic Signature: First and last name
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