Five Minute Environmental Hall of Fame Survey - (copy)

For Honorees who have received recognition for their local Community Environmental Hall of Fame.

Also for individuals who have nominated an honoree for their local Community Environmental Hall of Fame.

Membership Benefits refers to membership in your local chapter of the National Sustainability Association whose activities include your local Community Green Guide, Environmental Hall of Fame and several additional benefits.

Please see our 12 Powerful Benefits Presentation.

If you wish, you can start your membership on the last page of the PDF.



A red asterisk (*) indicates required questions.


  1. Your name (first and last) and your business name:*


  1. Your work phone number and your cell phone number:*


  1. Your e-mail address:*


  1. Please let us know if you have done or intend to do the following*
    Send your press release to local media
    Post your photo and press release on your website
    Post your photo and press release on your facebook
    Display your photo, award and/or press release in your reception area
    Would like to receive info on free press release websites
    Would like help publicizing your press release


  1. What is your greatest wish for your business?*


  1. Area(s) I would like to receive greatest help for my business are*
    Marketing
    Publicity
    Lead Generation
    Website Design
    Other


  1. What are your favorite solar and wind products?


  1. Why do you like these products?


  1. What other renewable energy or related products do you like?


  1. I would like to be informed about the best solar and wind products, and other renewable energy trends on a timely basis (this benefit is included in your membership).
    Yes
    Maybe
    Not Yet


  1. I would like to give an Environmental Hall of Fame Award to the following person or group in my city or another city (this benefit is included in your membership). You can choose more than one answer.*
    A Mayor
    A Sustainability Director
    A Council Member
    A Chamber of Commerce
    A School, School Administrator or Environmental Club
    A Student who has an Environmental Science Fair Project
    A Deserving Student
    Student and School Awards Sponsor Environmental Club (no extra cost)
    Another Deserving Business (see 12 Categories #2)
    A Deserving Client or Prospective Client
    A Worthy Environmentalist I Admire
    Other


  1. Who specifically would you like to give an award to? (You can attach a link.)*


  1. You can give the Hope Award (Hero of Planet Earth Award) to a local school environmental club, teacher, student with an environmental science fair project or other worthy student.

    You could have your photo taken with them (great publicity).

    Members automatically sponsor the school's Green Team (with the Green Team's own feature and photo in the Community Green Guide).

    What is the name of the school?

    Would you be willing to contact them? *


  1. Is there an environmentalist nationwide or worldwide you would like to give or send an award to? (Please give name, you can attach a link.)


  1. I would like to have my own customized Community Green Guide e-book with my business name on the cover; an article on my business in the Community Green Guide; an article on my community in the Community Green Guide that I can email to hundreds of clients and prospects (this benefit is included in your membership).*
    Yes
    Maybe
    Not Yet


  1. Please indicate which of the following benefits are of interest to you (these benefits are included in your membership). You can choose more than one answer.*
    Green Business Certification
    Helping to Start a School Green Team
    Receiving Environment 101 Certification
    Receiving Green Home Certificate
    Receiving Green Building Certificate
    Receiving Green School Certificate


  1. I would like to receive top articles regarding climate change and the environment (this benefit is included in your membership).
    Daily
    Weekly
    Monthly
    Not Yet


  1. I would like to receive help or consulting in the following areas:
    Health
    Social Relationships
    Life Purpose
    Spiritual Growth


  1. I would like to do one or more of the following with regards to my local chapter of the National Sustainability Association, National Environmental Hall of Fame and Community Green Guide.*
    Make a Donation
    Become a Member
    Maybe
    Not Yet


  1. I would be interested in sponsoring or finding sponsors for a Green Gallery in my community. This 4' x 6' gallery can hold up to 24 or more 8.5"x11"exhibits about community honorees and green initiatives.
    Yes
    Maybe
    Not Yet


  1. I would be willing to send nomination forms for top environmentalists in my community to my email list. If two or more individuals sign up as members, I could get my membership for free.*
    Yes
    Maybe
    Not Yet


  1. I would be willing to hand out 100 nomination forms for top environmentalists to individuals in my community or find additional email lists to send the form to. If two or more individuals sign up as members, I could get my membership for free.
    Yes
    Maybe
    Not Yet


  1. Comments, Suggestions or Additional Membership Benefits I would like to see: