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ENTRY FORM Greening Kinnelon Challenge
NAME/S: ____________________________________
ADDRESS: __________________________________
PHONE NUMBER: _____________________________
EMAIL ADDRESS: _____________________________
PROBLEM AS YOU SEE IT
Provide a brief, detailed description of your IDEA and the
problem you want to solve. How does this lower Kinnelon’s
Carbon Footprint?
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
IMPLEMENTATION PROCESS
List all ACTIONS STEPS NECESSARY (in detail) to implement
idea. Include names of community leaders, pictures, a
timeline etc.:
1. _______________________________________
2. _______________________________________
3. _______________________________________
FINAL OUTCOME
Describe the positive environmental impact resulting from
the implementation of your idea:
________________________________________________
________________________________________________
Use additional sheets of paper as necessary to fully
answer the questions.
I/We affirm the information provided in this application is true and complete to the
best of my/our knowledge. I/We understand that if any of the information provided
herein is knowingly false and or inaccurate, I/we am/are subject to disqualification
and will be ineligible for any award. I/We consent to the verification of information
contained in my/our entry. I/We hereby agree to these terms.
Signature of Applicant/s________________________________________
Date:_______________