School Compost bin Interest Form

✻ = Required

Have you attended one of our Community Workshops on Composting yet? ✻

Yes No

If yes, please tell us when and where:

Your Full Name ✻

Email ✻

School of reference ✻

Are you a teacher, administrator, parent, or other? ✻

Are you interested in a worm bin (food scraps only), backyard compost bin (majority yard waste), or both? ✻

Worm bin Compost bin Both

At what scale do you want to compost at your school? ✻

Single classroom Schoolwide Somewhere inbetween I'm not sure

Do you already have a worm or compost bin at your school? ✻

Yes No

Does your school have a garden? ✻

Yes No

Who would be maintaining the bin? ✻

Garden coordinator Single teacher or administrator Single parent or other outside adult Team of adults Students I'm not sure

Do you have someone identified to care for the worms over the summer or are you planning to return them to us at the end of the school year? ✻

Keeping over the summer Returning at the end of the school year

Survey Verification✻

For verification that you are human, please enter the following code in the box below:
CSSJAI

(if the code is not entered correctly, the survey will not be submitted)