El Paso Water Wise Badge Program Submission Form

El Paso Water Wise Badge Program Submission Form

For the complete guidelines for the Water Wise Badge Program visit: https://www.tech2o.org/learn/conserve-at-home/conservation-badge Ready to submit? Please fill out all required fields * and each submission field listed for the merit #s you have completed. Note: some merits have multiple fields to submit. Question? Feel free to connect with EPWater’s Conservation team at (915)621-2000 or tech2o@epwater.org
Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
No need to mail...
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Age
Merit 1: Test your toilet(s) for leaks – Be a responsible toilet owner!
How many toilets did you test?
Merit 1: Test your toilet(s) for leaks – Be a responsible toilet owner!
Did you find any leaks?
Merit 2: Creative Expression – Indoor & Outdoor Water Conservation Tips
Title & description of creative expression
Merit 2: Creative Expression – Indoor & Outdoor Water Conservation Tips

upload file for Merit 2: Only pdf, doc, docx, xls, xlxs, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, png, gif are allowed.
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Merit 3: Passport Program – Visit EPWater’s TecH2O Water Resources Learning Center

MonthDayYear
Date of visit
Merit 3: Passport Program – Visit EPWater’s TecH2O Water Resources Learning Center
What is the most fascinating thing you learned at the TecH2O Center?
Merit 4: Informative Interview – Explore El Paso Water Career Pathways

MonthDayYear
Date of interview
Merit 4: Informative Interview – Explore El Paso Water Career Pathways
Name, title, and department of Interviewee
Merit 4: Informative Interview – Explore El Paso Water Career Pathways
What is the most fascinating thing you learned from the interview?
Merit 5: Calculate Your Water Consumption – Understand Your Water Use
What is the gpm (gallons per minute) of your faucet?
Merit 5: Calculate Your Water Consumption – Understand Your Water Use
What is the gpm (gallons per minute) of your showerhead?
Merit 5: Calculate Your Water Consumption – Understand Your Water Use
What is the gpf (gallons per flush) of your toilet?
Merit 6: Read Aloud – Storytime with Willie the Waterdrop
How many people did you read aloud to?
Merit 6: Read Aloud – Storytime with Willie the Waterdrop
What language did you read aloud in?
Merit 7: Education Sensation – tech2o.org El Paso-centric Water Lesson

MonthDayYear
Date Completed
Merit 7: Education Sensation – tech2o.org El Paso-centric Water Lesson
Name of lesson
Merit 7: Education Sensation – tech2o.org El Paso-centric Water Lesson
What is the most fascinating thing you learned from this lesson?
Merit 8: Water Warrior Productions – Produce a Water Wise media message
Title of media message
Merit 8: Water Warrior Productions – Produce a Water Wise media message
Description/Artist Statement
Merit 8: Water Warrior Productions – Produce a Water Wise media message
using YouTube or Vimeo or other system, provide a viewable weblink to your video.
Merit 8: Water Warrior Productions – Produce a Water Wise media message

upload file for Merit 8: Only pdf, doc, docx, xls, xlxs, csv, txt, rtf, html, zip, mp3, wma, mpg, flv, avi, jpg, png, gif are allowed.
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Date

MonthDayYear
Today's Date
PRIVACY NOTICE: By entering the El Paso Water Wise Badge Program, you grant EPWater perpetual, royalty-free license to use your artwork, photo or video, in any media format for commercial purposes. You grant this entity permission to edit, modify, format, or adapt your artwork/photo/video for its purposes and at its discretion. Except for the El Paso Water Wise badge awarded to program participants, no other compensation will be paid to any participant for the submission or for future use of the submission in any manner. The personal information you submit will only be used to contact you if there is a question or issue regarding your submission or its content. We will not disclose, give, sell, or transfer any personal information about you, unless required by applicable law. As your submission may be made available to the public, you should not include personal information about yourself or anyone else.
Adult Approval: By clicking the "Approved" button below, I acknowledge that I am a responsible adult confirming that the name on this form has successfully completed the claimed merits while actively self-engaging in the learning process.
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