ED-GRS (2014-2015) Page 1 of 2

2014-2015 Post-Secondary Nominee Presentation Form

ELIGIBILITY CERTIFICATIONS

College or University Certifications

The signature of college or university President (or equivalent) on the next page certifies that each of the statements 

below concerning the institution’s eligibility and compliance with the following requirements is true and correct to the 

best of their knowledge. 

1. The college or university has been evaluated and selected from among institutions within the Nominating 

Authority’s jurisdiction, based on high achievement in the three ED-GRS Pillars: 1) reduced environmental 

impact and costs; 2) improved health and wellness; and 3) effective environmental and sustainability 

education.

2. The college or university is providing the U.S. Department of Education Office of Civil Rights (OCR) access 

to information necessary to investigate a civil rights complaint or to conduct a compliance review.

3. OCR has not issued a violation letter of findings to the college or university concluding that the nominated 

college or university has violated one or more of the civil rights statutes. A violation letter of findings will 

not be considered outstanding if OCR has accepted a corrective action plan to remedy the violation.

4. The U.S. Department of Justice does not have a pending suit alleging that the college or university has 

violated one or more of the civil rights statutes or the Constitution’s equal protection clause.

5. There are no findings by Federal Student Aid of violations in respect to the administration of Title IV student 

aid funds.

6. The college or university is in good standing with its regional or national accreditor. 

7. The college or university meets all applicable federal, state, local and tribal health, environmental and safety 

requirements in law, regulations and policy and is willing to undergo EPA on-site verification.

U.S. Department of Education Green Ribbon Schools 2014-2015

Public 4-Year Public 2-Year Private Non-Profit 

Name of President/Chancellor:

(Specify: Ms., Miss, Mrs., Dr., Mr., etc.) (As it should appear in the official records)

Official College or University Name:

(As it should appear on an award)

College or University Street

Mailing Address: 

(If address is P.O. Box, also include street address.)

County: IPEDS Number*: 

Telephone: Fax:

Web site/URL: E-mail:

*Integrated Postsecondary Education Data System

I have reviewed the information in this application and certify that to the best of my knowledge all information is 

accurate. 

 Date: 

(President’s/Chancellor’s Signature)
ED-GRS (2014-2015) Page 2 of 2

Nominating Authority’s Certifications

The signature by the Nominating Authority on this page certifies that each of the statements below concerning the 

college or university’s eligibility and compliance with the following requirements is true and correct to the best of the 

Authority’s knowledge.

1. The college or university has been evaluated and selected from among institutions within the Nominating 

Authority’s jurisdiction, based on high achievement in the three ED-GRS Pillars: 1) reduced environmental 

impact and costs; 2) improved health and wellness; and 3) effective environmental and sustainability 

education.

2. The college or university meets all applicable federal, state, local and tribal health, environmental and safety 

requirements in law, regulations and policy and is willing to undergo EPA on-site verification.

Name of Nominating Agency:

Name of Nominating Authority:

(Specify: Ms., Miss, Mrs., Dr., Mr., Other) 

I have reviewed the information in this application and certify to the best of my knowledge that the school meets the 

provisions above.

 Date: 

(Nominating Authority’s Signature)

SUMMARY AND DOCUMENTATION OF NOMINEE’S ACHIEVEMENTS

Provide a coherent "snapshot" that describes how your college or university is representative of your jurisdiction’s 

highest achieving green school efforts. Summarize your strengths and accomplishments in all three Pillars and nine 

Elements. Then, include documentation and concrete examples for work in every Pillar and Element. 

SUBMISSION

The nomination package, including the signed certifications and documentation of evaluation in the three Pillars should

be converted to a PDF file and emailed to green.ribbon.schools@ed.gov according to the instructions in the Nominee 

Submission Procedure.

OMB Control Number: 1860-0509

Expiration Date: February 28, 2015

Public Burden Statement

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information 

unless such collection displays a valid OMB control number. The valid OMB control number for this information 

collection is 1860-0509. Public reporting burden for this collection of information is estimated to average 37 hours per 

response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data 

needed, and completing and reviewing the collection of information. The obligation to respond to this collection is 

required to obtain or retain benefit P.L. 107-110, Sec. 501, Innovative Programs and Parental Choice Provisions. Send 

comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for 

reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20202-4536 or 

email ICDocketMgr@ed.gov and reference the OMB Control Number 1860-0509. Note: Please do not return the 

completed ED-Green Ribbon Schools application to this address.