Bee Campus Application Form

A) Campus Information

Name of College/University *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

B) Applicant's Information

Name of Applicant *

First

Last

Applicant's Job Title *

Organization or Department *

Applicant's Email *

Confirm Email

Applicant's Phone *

Are you the primary contact person? *

C) Becoming a Bee City Campus

Briefly summarize why your College/University should become a Bee City Campus *

D) Commitments & Actions

In order to enhance the understanding of the students and staff about the vital role that pollinators play in a healthy ecosystem, the applicant agrees to meet the following commitments required of all Bee City Campuses: *

1. Adopt the Bee City Canada Resolution.
2. Create a Bee City Pollinator Team.

The team will be responsible for overseeing the Bee City program. We recommend a committee of at least two faculty members, 2-5 students, campus staff, including employees from the campus grounds department.

Pollinator Team Members *

Add the name, role and email address of each team member.

3. Develop a Pollinator Habitat Action Plan: *

Outline your initiatives which aim to improve, maintain or create new habitat for pollinators. Examples could include planting a native plant pollinator garden on or off your campus, increase the biodiversity of the native plants, reduce or eliminate pesticide use, reduce frequency of mowing in certain areas, etc. Describe your plans and include a plant list, if possible.

4. Promote Education about Pollinators: *

Outline your initiatives aimed at educating students, faculty, staff and visitors. This may also include pollinator signage around campus.

5. Celebrate Pollinators: *

Tell us how your campus will celebrate National Pollinator Week and/or participate in other pollinator-themed events.

E) Other Requirements

I/we, the undersigned agree to: *

1. Publicly acknowledge Bee City Campus designation through publicly displayed signage, city/region/community website and other means.
2. Annually re-apply for Bee City Campus designation. A renewal application will be sent to you and a fee will apply.

F) Annual Renewal Fees

There are no fees on the initial application. The fees below apply to your annual renewal.

Bee City Renewal Fees

G) Requested Attachments

Please submit a short 50-100 word write-up of why it’s important to become a Bee City Campus. *

Attach your campus logo (png format) with any usage guidelines. *

Click or drag a file to this area to upload.

Attach photos, videos, posters, documents or other media showcasing events, activities or initiatives.

Click or drag a file to this area to upload.

This will help us share the exciting news through our Social Medial outlets.

Click or drag a file to this area to upload.

(copy)

Click or drag a file to this area to upload.

H) Resolution and Signature

WHEREAS the goal of Bee City Canada is to promote healthy, biodiverse habitats for pollinators in communities across Canada.

THAT bees and other pollinators around the globe have experienced dramatic declines due to land fragmentation, habitat loss, use of pesticides, industrialized agriculture, climate change and the spread of pests and diseases, with serious implications for the future health of flora and fauna for the planet; and

THAT colleges and universities have the opportunity to take actions to support pollinators by creating healthy habitats within their grounds and the broader community; and

THAT supporting pollinators fosters environmental awareness, increases interactions and engagement among campus community members and reminds us of our responsibility to take care of mother earth for future generation; and

THAT staff be authorized to submit the Bee City Canada Campus Application to designate (college/university) as a Bee City Campus; and

NOW, THEREFORE, BE IT RESOLVED:

THAT your campus accepts the designation and commits to the standards of the Bee City Canada Program.

Signature of President/Official *

Print Name

Date *