Participant Application Form

Use the resource below to create a printable completed participant application form. This form is required for businesses wishing to participate in the Green Business Plan.

Contact Information

Business Name:

Business Owner or Contact Person:

Address:

Address 2:

City: State: Zip:

Telephone Number: Ext:

Fax:

Email Address:

Website:

Business Information

Type of business/organization: If other:

Description of business to appear on www.GreenBusinessPlan.com:

Certification Fee

The certification fee is applied on a sliding scale based on the number of full-time equivalent employees (FTEs), which can be calculated by dividing total annual labor hours by 2080. Please choose the amount of FTEs your business employs.

Employees	Fee
0-10 FTEs	$100
11-20 FTEs	$150
21-50 FTEs	$250
More than 50 FTEs	$500