Application Form. IAPD Greenscene application

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Application Form IAPD Greenscene application tm

IAPD s greenscene tm program The IAPD Environmental Committee created the GreenScene TM designation to recognize the innovative and exemplary environmental initiatives in practice at IAPD member companies. A GreenScene TM designated member has filled out this application and has earned at least 100 points, as determined by the committee. SUBMISSION REQUIREMENTS The criteria has been developed to recognize the IAPD member companies who have adopted sustainable practices in their operations. In addition to adopting green practices, consideration will be given to those companies that demonstrate new and creative ways to be environmentally friendly. The IAPD GreenScene TM is based on a point system (section 1) and by the committee s evaluation of the presentation and essay (sections 2 and 3). All entries that earn at least 100 points will be awarded a GreenScene TM Certificate. All applications will be considered for the annual IAPD Environmental Excellence Awards, presented each year at the IAPD Convention. The top point earners will be awarded Gold, Silver or Bronze awards, based on their entries. Award entries will be reviewed by the IAPD Environmental Committee and will be evaluated based on total points accrued in the RECYCLING AND WASTE REDUCTION section (Section 1), the presentation (Section 2) and the case study (section 3). Additional points will be awarded to those companies who fill out and return the Metric Data Collection Tool. The judges will consider: Environmental Impact waste minimization and process improvements Financial Impact energy saving and material cost reduction Social Impact public outreach Local Government Recognition Other Green or Environmental Initiatives Submissions should clearly demonstrate how the company has performed exemplary leadership and responsibility in its efforts to protect the environment, while also promoting the continued growth of the plastics industry.

Section 1. Recycling and Waste Reduction. Points will be awarded based on the member company implementing the following practices. Select all that apply. Do you have a formal plastics recycling program? Yes No 7pts Do you measure your progress? Yes No 5pts What percentage of your plastic scrap do you prevent from going into your local landfill (lbs generated/lbs recycled)? None 0pt >25% 1pt 26-50% 3pts 51-90% 5pts more than 90% 7pts Where does the majority of your scrap go? Reprocess into another product 5pts waste to energy 3pts sends scrap offshore 1 pt landfill/don t know 0pts Does your program include efforts to reduce in-process waste throughout the supply chain? Yes No 3pts Please explain Does your company accept scrap from its customers? No 0pt Yes, material we sold to them 3pts Yes, any material that fits into our recycling program 7pts Do you offer green alternative products or solutions? Yes No 5pts Green alternative products include products containing some recycled content and/or bioplastics, plus low VOC alternatives for adhesives. Are there products you limit or do not offer because of potential environmental concerns? Yes No 3pts Are the materials you offer in your product offerings identified as recyclable or made from recycled materials? Yes No 3pts Does your company purchase recycled/environmentally friendly products for internal use? Yes No 3pts Examples Have you completed the IAPD Environmental Survey? Yes No 3pts Is there anything not on the list above that adds to the value of your plastics recycling and plastics waste reduction program? (3, 5, 7 or 10pts determined by Environmental Committee) Do you have a formal recycling program that addresses items other than plastic? Yes No 7pts Does your program include an assessment of all landfilled waste? Yes No 5 pts Do you measure/track your volume/frequency of these items? (include documents) Yes No 7 pts Do you know what your recyclers do with your scrap? Yes No 3 pts Do you partner with suppliers on waste reduction efforts? Yes No 3 pts Do you recycle the following? Mark all that apply. 2 pts each paper ink/toner cartridge batteries/light bulbs soda cans plastic/glass bottles/food packaging electronics steel/other metals oil/coolant cardboard shrinkwrap/banding pallets other (please list here: Do you purchase the following? Mark all that apply. 2 pts each recycled office/paper products environmentally friendly cleaning products/soaps other (please list here: )

Section 2. Presentation: How is your company making a positive impact or sustainably supporting the environment through its policy and practice? This section is your opportunity to provide the Environmental Committee with other facts, photos, charts and supporting documentation that detail your answers in Sections 1. The Environmental Committee will determine final scores for this section based on the completeness of your response. Accredited, third party recognition is ideal; however, internal audits, executive statements and the like will also be considered. Since IAPD members come in all shapes and sizes, applications will be evaluated for commitment and effort relative to each respective applicant s size and general business practice. If your company and its employees are making pre-determined and documentable efforts to positively effect or sustainably support the environment, we d like to know. Please remember to provide documented evidence to support your claims and statements. Scores will accumulate based on this documentation regarding your company s environmental program. Evidence of certain components of your program will receive a standard amount of points; the absence of that same component will carry no score. The following are some suggested components you can include in the description of your formal program and the level of points applied to each section: Executive-Level Support of Environmental Program (5 pts) Employee Engagement surrounding Environmental Program outlining clear employee responsibilities within your organization (5 pts) Partnerships with companies supporting your Environmental Program (3pts) Natural Resource Conservation- outline programs that conserve: - Water (5pts) - Energy (5pts) - Air (5 pts) - Other Social Impact; Outline Community involvement promoting sustainability efforts (5 pts) Local awards or recognition received for Environmental efforts (3 pts) Documented compliance with Environmental standards (3 pts) Use of IAPD GreenSceneTM logo in marketing materials, website, email signatures, etc. (3 pts) Documented work done on behalf of IAPD environmental initiatives (5 pts) Your response can be as short or long as necessary and will be judged on its own merits. Smaller companies or companies who have only recently begun incorporating environmentally friendly policies in their operations have as much of an opportunity to score high points as larger, more experienced applicants. Section 3. Case Study. We d like to hear about a success story; a project, a bid or an event at your business that got you excited about taking responsibility for the impact your activities have on the environment. A great story will mean more if it s properly documented and substantiated. Please submit as a separate attachment. A Word document and photos or a PDF are acceptable formats. Your submission will not be penalized if this section is not included. This section is eligible for up to 25 points, to be awarded by the Environmental Committee. METRIC DATA COLLECTION TOOL A nominee s environmental impact should be documented and, if possible, quantified by filling out and submitting the Metric Data Collection Tool. This worksheet is designed to help nominees chart their environmental footprint by identifying key environmental measurements to track progress of recycling, reducing and reusing. If your company is currently not tracking this type of data, this worksheet was developed to help you begin this process. DEADLINE IAPD accepts GreenScene TM applications year-round. The IAPD Environmental Excellence Awards will be selected from the applications received by July 31, 2016. Please contact IAPD at +913.345.1005 if you have any questions. MENTORING PROGRAM Environmental Committee members are available for help and advice through the new mentoring program. Contact Liz Novak, lnovak@iapd.org, to get matched up with a committee member to help you launch and/or improve your company s environmental programs. BE PART OF THE GREENSCENE All eligible entries for the IAPD Environmnetal Excellence Award will receive the GreenScene TM logo for use in your company s marketing materials and on your website to promote your commitment to environmentally responsible business practices.

IAPD GreenScene TM Application Company Name Street Address City State/Province ZIP/Postal Code Country Contact Name of Person Submitting Form Phone Is your organization a: Distributor Fabricator Manufacturer Manufacturers Representative Resin Manufacturer/Distributor Associated Products or Services Total number of headquarters and branch locations in your organization: Total number of these locations covered by this application: Do you have an employee in your ogranization whose primary job function involves recycling? Yes / No (please circle one) Is this your organization s first time submitting an application for an IAPD Environmental Application Award and/or the GreenScene TM program? Yes / No (please circle one) When did you begin your recycling program? Please check if the following apply for submissions: q Metric Data Collection Tool is Attached (optional, not mandatory for submissions) q Documents to Support Nominee s Application are Attached Supporting documents should be sent in PDF format. (Examples could include a company s green or sustainability statement, references, testimonials or information about other environmental awards or recognitions already received.) DEADLINE IAPD accepts GreenScene TM applications year-round. The IAPD Environmental Excellence Awards will be selected from the applications received by July 31, 2016. Please contact IAPD at +913.345.1005 if you have any questions. Submitting your application This form and information about the GreenScene TM program and the annual excellence awards may be found on IAPD s website at www.iapd.org where you can submit your application online. Applications and supporting documents may also be sent via e-mail to the attention of Liz Novak, IAPD Director of Marketing and Communications, at lnovak@iapd.org. International Association of Plastics Distribution 6734 W. 121st Street Overland Park, KS 66209 USA +913.345.1005 fax +913.345.1006 www.iapd.org