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Name of Company *
E-mail Address: *
Name of CEO *
Name of CMO
Name of COO
Do you have a Sustainability officer? What is their name and contact info?
Address line 1 *
Address line 2
Address line 3
City *
State *
Zip Code *
Country *
Area Code Phone No. & Ext. *
Are you Certified Green by any of these Organizations
ISO14001
Underwriters Laboratory (UL Environment)
American Consumer Councils Green C Certification
USGBC
Scientific Certification Systems
Bay Area Green Business Program
San Francisco Green Business Certification
B Corporation Certification
MBDC Cradle-to-Cradle Certification
Green Seal
How is your organization socially and environmentally responsible in the way they source, manufacture, and market their products and run their offices and factories? *
Does your organization run values-driven enterprises that operate according to principles of social justice and environmental sustainability? Please describe briefly. *
Does your organization actively use their businesses as tools for positive social and environmental change? If so briefly describe. *
For your organization’s commitment to social and environmental responsibility, which if any of the following indicators of that commitment are present within your organization?
Product quality
Promotion and support of consumers health and safety
Organically grown contents
Cruelty-free production
Energy usage, efficiency, and promotion/use of renewables
Waste reduction
Promotion of positive education and social values
Environmental impact and protection of the biosphere
Minimal/reusable packaging
Social and environmental responsibility of third-party producers
Employee safety and healthy working conditions
Fair labor practices
Decision-making, ownership, and financial equity within the company
Workplace ecology
Transparency and openness in communications with stakeholders
Community impact and commitment to Fair Trade
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