Contact information:

Name
Title
Organization
E-mail
URL

Please state briefly how your business demonstrates leadership in environmental and social responsibility:

If you are a manufacturer or retailer, do 50% or more of your products (to your knowledge) meet the following requirements?

1. Are not tested on animals
2. Are manufactured without violating human rights
3. Are manufactured without violating health and safety regulations
4. Do not contain genetically engineered ingredients for consumption
5. Meet all environmental quality and pollution regulations
6. Are made from organic ingredients to the extent possible
7. Raw materials favor sustainable production when possible
8. Utilize recycled ingredients and packaging to the extent possible
9. Utilize renewable energy sources when possible
10. Are produced in the most ecological manner possible

Yes
No
I need to explain

For all applicants, do you certify that your company or organization meets the following requirements?

1. Has policies in place that favor environmental responsibility
2. Has progressive employee policies that promote health & wellbeing
3. Participates in community support and/or charitable giving
4. Utilizes recycled products the extent possible
5. Utilizes renewable energy sources when possible
6. Includes forms of environmental and social responsibility in its mission statement or organizational policies

Yes
No
I need to explain

Everyone has room for improvement. Please specify which areas you currently do not meet or are weak in:

If you do not currently meet the above requirements for our Star Award, do you certify that you intend to meet all requirements within three years? Or, do you know of reasons you should be listed as a Star Award due to your particular situation (must explain)? 

Yes
No
I need to explain

Number of Employees (full-time equivalents including owner)

Year Established

Explanations and Other Comments:

I have read and agree with Sustainability Store's Privacy Policy and Disclaimers

I have read and agree with the following Update and Removal Policy:

Sustainability Store may request updates from time to time to ensure that Award recipients still meet our requirements. In the event a company or organization is suspected to have submitted misleading information, they will be notified and asked to remedy the problem. Listings may be removed from the database at the sole discretion of Sustainability Store.

revised 10/04/2006