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

Phone

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.

Select or enter value
Caret IconCaret symbol
Select
Caret IconCaret symbol

List city and state of other locations.

Ex: facebook.com/yourname

Ex: @yourname

Ex: @yourname

Ex: linkedin.com/company/yourname

Business Information

Select or enter value
Caret IconCaret symbol

For a list of industry sector definitions, click here.

Select
Caret IconCaret symbol
Which answer best applies to your business or organization?*
Is your business certified through a third-party organization?*
Please identify the third-party certifications, programs or recognized that your business has received.

We commit to implementing at least three sustainability practices over the next 12 months, or have already implemented sustainability practices, related to one or more of the following:


  • Energy consumption
  • Water consumption
  • Waste management and reduction
  • Sustainable procurement
  • Transportation and/or commuter benefits
  • Employee engagement
Select
Caret IconCaret symbol
Select
Caret IconCaret symbol

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

Drag and drop files here or
Select
Caret IconCaret symbol

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.

Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse