ClimateClever Initiative
2018 Program Application
Let's go!
 
Before we begin, please note that part of the requirements of the program is to form a ClimateClever committee. We will need the names of your core members.

This includes the following representatives:
* A teacher
* A business manager
* A community representative (parent or P&F/P&C member)
(They can change as you go & you can add later too)
 
Your name: *

 
Your title: *

Please note that you must have your Principal's support to proceed.

 
Your school: *

 
What level is your school? *


 
And what type of school are you? *


 
How many students do you expect to have in 2018? *

 
If a secondary school, how many students do you have in year 11 and 12 combined?

These will be deducted from your annual cost. Please enter N/A if you are not a secondary school.
 
Please enter your school's address: *

Please include city, postcode and country (if outside Australia)
 
School phone: *

Please include your country and area code.
 
School website:

 
Please list the names & emails of your core committee members.

You can change this at any time.
 
Teacher representative:

 
Business Manager representative

 
Parent/citizen/community representative:

 
Student rep:

 
Please read and tick yes if you agree to the Terms & Conditions:

http://simplycarbon.com.au/terms-conditions 

*

In order to participate in the program, you must agree to the terms and conditions.
     
 
Are you signing up in a group? If yes, please list the names of the other schools separated by commas.

 
If you require a purchase order for the invoice we will send you, please enter it below.

(The price will be based on $8/student. Or $7/student if in a group of 3 or more)
 
Finally, we are curious - how did you hear about the program? *


Thank you for your signing up to our 2018 Pilot
ClimateClever Program!

We will send an invoice and more information to get you started shortly.