Green Business Partners Participation Agreement

Thank you for submitting a participation agreement to the Fairfax County Green Business Partners program. Your application will be reviewed, and we will contact you within 10 business days.

If you have any questions or if you are having any difficulty with filling out this form, please email greenbusiness@fairfaxcounty.gov.

General Information

Today's Date

mm/dd/yyyy

Name of Business

Point of Contact's Name

Title/Position

Phone Number

Phone

Fairfax County Business Address

Estimated Number of Employees in Fairfax County

If you have locations outside of Fairfax County, please do not include them in your count. Only provide number of employees that work in a Fairfax County location.

Is your business a certified Small, Women-owned, and Minority-owned Business?

Is your business a certified Disadvantaged Business Enterprise?

Other Locations (If Applicable)

List city and state of other locations.

Business Website URL

Facebook URL

Ex: facebook.com/yourname

Instagram Handle

Ex: @yourname

Twitter Handle

Ex: @yourname

LinkedIn URL

Ex: linkedin.com/company/yourname

Business Information

Sector

For a list of industry sector definitions, click here.

Do you have a current Virginia Business, Professional, and Occupational License (BPOL) (i.e., Business License)?

Which answer best applies to your business or organization?

Sustainability is incorporated as part of our business model and our business is recognized by a third-party organization.

My business is not yet taking action and is interested in learning more about sustainable business practices.

My business is implementing basic sustainability practices and is looking to do more.

Describe your business' motivation for adopting sustainable or "green" business practices:

Do you have a “Green Team” or dedicated staff responsible for engaging employees and raising environmental awareness within your business?

Upload any documents that would apply to your businesses' sustainability efforts.

Ex. awards/recognition, corporate responsibility statements, ESG reports, list of green buildings, etc.

Drop your files here

How did you learn about Green Business Partners?

Before submitting, check here if you agree with the above statement.

To the best of my knowledge, the information provided in this application is accurate. My business aspires to conduct business in a sustainable manner, conserving resources, and protecting the environment. My business is aware of and complies with applicable environmental laws and regulations. My business strives to be an environmental leader in Fairfax County and beyond.

Before submitting, check here if you agree with the above statement.

Send me a copy of my responses

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