Green Leader Application for Food Service Industry

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The Rockford Sustainability Committee invites our local businesses to advertise their environmental stewardship by filling out this application. Successful applicants can receive one of three designations - Gold, Silver or Bronze by scoring points in each of our four categories.

To qualify, a business or organization must perform a minimum of two activities from each category. Each activity is worth one point, unless otherwise noted. Paragraph answers will be scored by our review team and range from 1-3 points. Applicants must score a total of 10-19 points for the Bronze level, 20-29 points for the Silver level, and 30+ points for the Gold level. You may leave questions blank.

Once your application has been approved by our committee, your business will be awarded a Green Leader window sticker designating your level of achievment. Display this logo proudly in a prominent location to let your customers know of your commitment to a sustainable community! We will also help you advertise your achievement on our social media and in our local newspaper.

If you have questions or pictures that will help clarify your actions and help us promote your business, please email them to RockfordSusCom@gmail.com.

Thank you for your participation!

Email *

Green Leader Logo

Name of Business/Organization *

Contact Person *

Email Address *

Phone Number *

CATEGORY 1: REDUCING WASTE

Our business recycles.. (check all that apply)

paper

plastic

cardboard

glass

metal

Other:

Please explain any hard-to-recycle items that you recycle (e-waste, toxic waste, styrofoam, etc.)

Tell us about any other recycling programs you participate in, such as TerraCycle, to recycle special items.

We offer in-house customer recycling. Please explain.

Our business composts food waste. Please explain. (Pre or post consumer? On site or a service?)

We compost other organic materials such as yard waste or materials used in making our product(s). Please explain.

We use the following reusable serviceware. (Check all that apply.)

silverware

plates

cups or glasses

napkins

tablecloths

We use the following recyclable or compostable serviceware:

silverware

plates

cups or glasses

napkins

carry-out containers

drinking straws

Other:

We have eliminated styrofoam from all serviceware.

Yes

Clear selection

We have eliminated plastic bags for customer carry.

Yes

Clear selection

We allow and encourage patrons to bring their own food containers for coffee, leftovers, etc.

Yes

Clear selection

What other actions have you taken to elimate single use plastics?

Explain any other actions you have taken to reduce landfill waste.

CATEGORY 2: RESOURCE CONSERVATION & AIR QUALITY

Our business has the following water saving devices:

Low-flow toilets

Water tap aerators

Rain barrel(s)

Other:

We participate in "Adopt a Drain" program by keeping our nearby storm drain(s) clear. (1 pt.)

Yes

Clear selection

Please explain any other water conservation efforts (grey water for plants, etc.)

Our business has the following energy saving devices:

LED lighting (no incandescent bulbs)

Energy efficience light switches (timers to go off when room not in use)

Programmable thermostat

Smart thermostat

Power strips for electronic devices

Smart power strips (automatically shuts down appliances)

Energy Star appliances (2 pts)

Zoned thermostats (2 pts)

Ground or air source heat pump for heating and cooling (3 pts)

Solar panels (3 pts)

Other:

We have performed a free energy audit in the past year with our utility company.

Yes

Clear selection

We have hired an energy consultant to perform an audit in the past year (2 pts.)

Yes

Clear selection

We have an indoor air filtration system (2 pts)

Yes

Clear selection

We have room air purifiers

Yes

Clear selection

We encourage "no idling" with signage in our parking area

Yes

Clear selection

We use low VOC paint on all painted surfaces.

Yes

Clear selection

We track our energy and water usage through Energy Star Portfolio Manager or a similar software. Please explain. (2 pts)

We are enrolled in a Green Energy program through our energy provider or other source. (2 pts)

Yes

Clear selection

CATEGORY 3: STEWARDSHIP & TRANSPORTATION

We practice responsible landscaping by...

planting native flowers and grasses

planting native trees

composting our yard waste

minimizing lawn

minimizing the use of gas powered equipment like mowers, blowers, string trimmers, etc.

We encourage sustainable transportation with our patron by:

providing an incentive (free cookie, monthly "bike to dine event", etc.)

providing designated bicycle parking

providing water fountains, pet treats, pet drinking bowls, etc.

promoting clean transportation on our social media and store signage

providing charging stations for customer parking (2 pts)

Other:

We encourge sustainable transportation with our employees by:

implementiing a carpooling program

providing an incentive program (Ex: bonus for walking or biking 5x a month)

friendly competition program (Ex: Healthy Hero of the Month)

Other:

Our menu includes at least five plant-based food options

Yes

Clear selection

We support farm-to table. (Please explain the approximate percentage of food procured locally.)

Please explain other activities you feel qualify for this category. (This can include multiple activities for extra points. Ex: invasive plant removal, river clean up, trash pick up, etc.)

CATEGORY 4: COMMUNITY & POLICY

We partner with other organizations to promote sustainability. Please explain.

We host a community event that inspires environmental stewardship. Please explain.

We help sponsor a community "green" event. Please explain.

We collaborate with other Green Leader businesses to promote sustainability. Please explain.

We have mentored other businesses to become Green Leaders. Please explain.

We regularly promote sustainability on social media and in-house signage.

Yes

Clear selection

We have an internal Green Team or Green Ambassador

Yes

Clear selection

We have documented sustainability goals as a business

Yes

Clear selection

We regularly discuss our sustainability goals at staff meetings

Yes

Clear selection

We have a policy in place to train staff on our sustainability initiatives

Yes

Clear selection

Our purchasing policies reflect our commitment to sustainability, even if the price is a little higher.

Yes

Clear selection

Please explain other activities you feel qualify for this category.

A copy of your responses will be emailed to the address you provided.

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