Farmers/Flowers Please check off any and all that applies to you: |
| Is your farm/nursery locally based? (i.e. located within 3 hours of the market) |
Yes No
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| Are the vehicles used to transport your produce/flowers low impact in any way? |
Yes No |
| Do you practice any of the green hints listed below? |
Yes No |
| If yes, which ones? |
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| Are you certified Organic? |
Yes No |
| If you are Certified Organic what is the name of your 3rd party certifier? |
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| Are you pesticide free? |
Yes No |
| If no, please list everything used to control pests and the method you apply them to crops. |
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| Please list everything used to control rot or fungus and the method by which you apply them to crops. |
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| Please list everything used to control weeds and the method by which you apply them to crops. |
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| Please list the fertilizers you use. |
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| Do you use products to control size, ripeness and appearance? |
Yes No |
| If yes, please list everything used and the method you apply them to crops. |
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| What cover crops you use to increase soil fertility and water conservation? |
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| If product is packaged, do you use eco-friendly or reusable packaging? |
Yes No |
| Please use this space to elaborate if needed: |
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Food Please check off any and all that applies to you: |
| If food is packaged, do you use eco-friendly or reusable packaging? |
Yes No
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| If yes, please elaborate: |
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| Do you purchase any of your raw food products from local vendors, farmers or Farmer's Markets (i.e. within 4 hours of the market)? |
Yes No |
| If so name: |
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| Does your commissary practice any of the green hints below? |
Yes No |
| If so, which ones? |
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| Are any of your ingredients used organic in any way? If yes, what percentage? |
Yes No % Organic
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| Do you prepare food in a low impact way? |
Yes No |
| If yes, please elaborate: |
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Crafter/Other Please check off any and all that applies to you: |
| Is your product handcrafted? |
Yes No
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| Do you use any recycled materials to make your product? |
Yes No |
| If yes, please elaborate: |
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| Are any of the raw materials used to make your product considered "Fair Trade"? |
Yes No |
| Do you practice any of the green hints listed below? |
Yes No
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| If so, which ones? |
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| If product is packaged, do you use eco-friendly or reusable packaging? |
Yes No |
| Does your product have any positive impact on the environment? |
Yes No |
| If yes, please elaborate: |
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| Are any of your raw materials purchased in support of local vendors (i.e. within 4 hours of the market)? |
Yes No |
| Hints on being Green to name a few:
- Recycle
- Use Energy Star Products
- Install LED Light Bulbs
- Install Motorized shade system on large windows automatically lowers shades when sun is shining
- Use Local sustainably managed forests/farming/products - less emissions due to transport
- Use Solar panels with active tracking PV system - follows sun throughout the day increasing efficiency
- Use High Efficiency HVAC {heating, ventilation & air} systems
- Use aerators
- Plant deciduous trees
- Use local chipped wood waste for erosion control
- Install Digital thermostat
- Recycle organic matter
- Compost
Check out my Green Business Directory to find more: JustDoOneThingGreen.com |
Please provide any additional information that you think might help you.: |
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| In certifying an applicant’s products and services, Jennifer McColm, LLC uses and relies primarily on the responses
and information provided by the applicant and on other information available from public sources, without having
independently verified the same. Jennifer McColm, LLC does not assume responsibility for the accuracy or
completeness of any information provided by the applicant or such other publicly available information. |
| After you submit this form, you will be transfered to a page where you can pay a $30 application fee with a credit card or bank account through Paypal. |
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