Bee City Application Form Need help with this application? Email [email protected]. Please enable JavaScript in your browser to complete this form.A) City or Community InformationCity/Town/Municipality/First Nation *Province *AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNova ScotiaOntarioQuebecPrince Edward IslandSaskatchewanNunavutNorthwest TerritoriesyukonName of Mayor, Chief or Chair of Commission *FirstLastJob Title *B) Applicant's InformationName of Applicant *FirstLastApplicant's Job Title *Organization or Department *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeApplicant's Email *EmailConfirm EmailApplicant's Phone *Are you the primary contact person? *YesNoContact's NameFirstLastContact's EmailContact's PhoneC) Bee City Pollinator TeamPlease list the members of your community’s Bee City Pollinator Team. This group will oversee the Bee City program.Pollinator Team Members *Add the name, role and email address of each team member.Tell us about any initiatives currently taking place in your city, town, municipality or First Nation which aim to help pollinators. These may include existing pollinator gardens, habitat restoration projects, efforts to reduce or eliminate the use of pesticides and public education activities to raise awareness about pollinators. *D) Commitments & ActionsI/we, the undersigned, understand that the Bee City Canada program consists of three commitments, and that we will take the indicated actions to support those commitments:1. Creating Healthy Pollinator Habitat: *Describe your plans to create, improve and maintain pollinator habitat, while reducing or eliminating pesticide use.2. Educating the public about the importance of pollinators: *Describe how you plan to educate residents, city staff and others about the importance of pollinators and what people can do to protect them.3. A yearly commitment to celebrate: *Describe how you plan to celebrate pollinators during international Pollinator Week (third week of June) or at another more convenient time.4. Signed Resolution: Download and complete the Resolution Document and have it signed by the Mayor, chief or authorized official. The wording of the resolution can be changed to suit the needs of your city. Email the completed resolution to [email protected] E) Other RequirementsI/we, the undersigned agree to: *1. Publicly acknowledge Bee City Canada designation through publicly displayed signage, City/Town/Municipality/First Nation website and other means. 2. Annually renew your Bee City Canada designation. A renewal application will be sent to you and a fee will apply.3. Create a list of the native plants in your community to be published upon renewal.4. Document your favourite Bee City moments of the year and submit upon renewal (video preferred).F) Annual Renewal FeesThere are no fees on the initial application. The fees below apply to your annual renewal.Bee City Renewal FeesLess than 5,000 population - FREE5,000 – 10,000 population - $15010,001 – 25,000 population - $20025,001 – 50,000 population - $30050,001 – 100,000 population - $400100,001 – 250,000 population - $500250,001 – 500,000 population - $750500,001 – 1,000,000 population - $1000+ 1,000,000 population - $1500G) Requested Attachments1. A short 50-100 word write-up of what it means to your city, town, municipality or First Nation to become a Bee City. Include photos if possible. This will help us share the exciting news through our social media outlets. 2. Your city, town, municipality or First Nation logo (png format preffered) and any usage guidelines.File Upload Click or drag files to this area to upload. You can upload up to 5 files. H) SignatureName *Title *Date *Website / URLMessageSubmit Application