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Cleaner Bus School Enrollment Form


To enroll your school as a Cleaner Bus School, to request resources and information, or to report your school’s efforts to reduce students’ exposure to school bus diesel emissions, fill out this form. Submit it, or mail/email it to the Sierra Club, 2327 Franklin Ave E, Minneapolis, MN 55406 or cesia.kearns@sierraclub.org. If you have questions, please contact Cesia Kearns, Sierra Club Air Toxics Organizer at 612-659-9124.



School Name:
School District Number:
School Address:
City: Zip:
School Type:
Elementary Middle High School Other
School Contact Name:
Contact Phone:
Contact Email:
Number of Buses (owned or contract):
Number of Students:
Is Bus Service Contracted? Yes No
If Yes, Name of Contractor:
If Yes, When Is Contract Up For Renewal?
Resources Requested:
Grant Funding Opportunities Booklet
Sample Photo Ready No Idling Signs
Sample Notice to Parents
Sample Memo to Administrators on No Idling
Informational Brochure # of copies
Other
Student Speakers: When?
What Has Your School Done:
Adopted No Idling Policy
Posted No Idling Signs
Sent Notice To Parents
Applied For Pilot Project/Grant Funding
Redesigned Air Intake Vents
Redesigned Parking
Other:
Instructed Administrators to Enforce No Idling
Additional Information On Your School’s Projects: