Zero Waste Place Registration
This is an application form for the Zero Waste Place program offered by Elements Society. This program is offered in French and English and is designed for Kindergarten to Grade 7 classes located within the City of Vancouver. If you are outside of the City of Vancouver, please apply to our Journey to Zero Waste / Voyage Zéro Déchets program instead.
Teacher Name
*
First Name
Last Name
Email
*
example@example.com
School name
*
School Address
*
What municipality is your school located in?
*
E.g. City of Vancouver
What school district is your school in?
*
E.g. Vancouver School Board
Total number of students (max is 45 students per workshop)
*
Number of classes
*
Grade Level
*
Kindergarten
Grade 1
Grade 1/2
Grade 2
Grade 3
Grade 4
Grade 5
Grade 4/5
Grade 5/6
Grade Levels (please select all that apply)
*
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
What language would you prefer for program delivery
*
English
French
Bilingual (for French language learners)
Your preferred video conferencing platform
*
Zoom
Google Meet
Other
Pick your preferred delivery method for the program
*
In Person
Virtual
Blended (mix of virtual and in-person sessions)
Which option would you prefer? (Please note that each option consists of the same content)
3 week option
4 week option
Please enter 4 proposed dates and times for us to deliver our 4 workshops (please provide times in 1-hour time slots).
*
Please enter 1 proposed date and time for a 15-30 minute virtual "Tech Check" (ideally one week before your first proposed workshop date).
*
Your fourth and final workshop of Zero Waste Place is an "Action Day!". Please choose one of the following options. (Please note that if you are doing your workshops virtually, you will be automatically assigned to Option 3: Design a Poster, as the other options are only available in-person).
*
Option 1: School Cleanup & Mini Waste Audit (in-person & OUTDOORS)
Option 2: TRASHformation Art (in-person)
Option 3: Design a Poster (in-person or virtual)
What are you hoping for your students to gain from this program? Are there any units, current projects, or specific curriculum connections you are hoping to make? What sort of learning have your students already had around these topics?
How did you hear about our program?
*
Vancouver School Board
City of Vancouver
Conseil scolaire francophone de la Colombie-Britannique
Word of mouth
Social media
Email from Elements or Elements Newsletter
Professional Development session
Google Ad
Other
Have you previously participated in Elements Society programs?
*
Yes, I participated in Zero Waste Place.
Yes, I participated in another Elements Society program (e.g. Destination Conservation).
Yes, I participated in an Elements Society professional development session.
No, I have not.
Would you like to sign up to receive our monthly newsletter?
Yes please!
No thank you.
I am already signed up
Back
Next
Submit
Should be Empty: