Preliminary Application – Bethesda Green

Thank you for your interest in the Montgomery County Green Business Certification Program! This form helps us to become more acquainted with you and your business. Upon its completion, we will contact you regarding further steps in the Green Business Certification process.

Business Name:*
Business Address:*
City/Town:*
ZIP/Postal Code:*
Business Website:*
Business Phone Number*
Business Email Address:*
Contact Details:
Primary Contact Name:*
First Last
Title at organization
Phone Number:*
Email Address:*
Secondary Contact Name:
First Last
Title at organization
Phone Number:
Email Address:
Please enter the following details about your business:
Nature of Business/Industry:*
Optional – Nature of Business/Industry tell us more:
Do you lease or own the building in which you are located?*
How many years has your business been in operation?*
Number of full-time employees:*
Number of contract/part-time workers:*
Are you interested in certifying multiple locations in the future?
Additional Questions:
What is your hope from completing this certification?
Do you have a Green Team or staff member prepared to oversee your organization's environmental stewardship?*
Do you or a participating employee require language assistance or translation services during the course of the certification? If so, please tell us more.
Has your business been previously certified by the Montgomery County Green Business Certification Program or through any third-parties? If so please provide the dates and further details.*
How did you learn about the program?
If you selected "Other" above please provide additional details here
Is there any other information you would like to share with us?

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Your donation will support our efforts to stimulate the next generation of green businesses and initiate programs that promote sustainable living practices.

Contact Details:

Please enter the following details about your business:

Additional Questions:

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