Instructions The information you provide in this form will be used to assess, communicate, and celebrate progress made toward the Action Plans targets each year. We will not share any identifying information without your consent. Please submit a new form for each action you wish you report.

Question 1) Type of Achievement *

What type of achievement are you reporting? (Required, one response only please.)A. Tree planting, naturalization project, or garden installationB. Energy or water conservation retrofit to an existing buildingC. Rain barrel or composter installationD. Program resultE. Local eventF. Other (please describe below)

If you selected "Other" above, please describe your achievement in the field provided here:

Question 2) Location of Achievement *

This action, event, or program took place:A. On residential property.B. On public property (e.g. a park). Note: sidewalk boulevards are public property.C. On commercial property (including parking lots).D. On institutional property (e.g. a school or faith institution).E. Throughout the neighbourhood (e.g. a neighbourhood-wide program or online initiative).F. I don’t know.

Question 3) Neighbourhood

Please select the neighbourhood where this action, event, or program took place, if applicable:Kawartha HeightsEast City - Curtis CreekDon't knowOther (please specify below)

If you selected "Other" above, please specify in the field provided here:

Question 4) Address of Achievement

Please provide the address where this action, event, or program took place, if applicable:Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Question 5) Select the date that this action, event, or program took place: *

Question 6) Tell Us More. *

Tell us more about this achievement. If possible, please include details such as the number of square metres impacted, number of trees planted, number of people who attended/participated, your favourite moments, etc. Approximate answers are okay.

Question 7) Do you have a photo or video of your achievement that you want to share? If so, you may upload it here. Note: maximum attachment size is 10MB. If your attachments will not upload properly, please email heather.ray@greenup.on.ca

Question 8) Permission to Contact. *

May we contact you to learn more about your achievement?YesNo

Question 9) Recognition *

Some actions may be eligible for additional recognition through SUN and other initiatives, such as GreenUP’s Water Wise program. Do you wish to be considered for these recognition programs, if applicable?YesNo

Question 10) Contact Information If you answered "Yes" to either question 8 or 9 above, please enter your contact information below.

First Name

Last Name

Email

Phone

Privacy *

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Sustainable Urban Neighbourhoods

Progress Reporting Tool

Sustainable Urban Neighbourhoods Progress Reporting Tool

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