Bee School Application Form

Need help with this application? Email [email protected].

A) School Information

Name of School *

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 School

Briefly summarize why your school should become a Bee City School. *

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 Schools: *

1. Adopt the Bee City Canada Resolution (see section G).
2. Create a Bee City Pollinator Team.

The team which will be responsible for the Bee City program at your school. We recommend a committee of at least two teachers/instructors and two students as well as parent(s) and caretaking staff if possible.

Pollinator Team Members *

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

3. Develop a Pollinator Habitat Action Plan: *

Outline any initiatives which aim to improve, maintain or create new habitat for pollinators. Examples could include planting a locally native pollinator garden at your school or in the local community. Describe your plans for habitat and include a plant list.

4. Promote Education about Pollinators: *

Outline any initiatives aimed at educating students, staff, volunteers, parents and/or the local community about pollinators.

5. Celebrate Pollinators: *

Tell us how your school 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 School designation through publicly displayed signage, city/region/community website and other means.
2. Annually re-apply for Bee City School designation. A renewal application will be sent to you.

F) Requested Attachments

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

Attach your school 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 files to this area to upload. You can upload up to 10 files.

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

G) 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 schools 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 in the school and reminds of our responsibilities to take care of mother earth for future generations; and

NOW, THEREFORE, BE IT RESOLVED:

THAT your school accepts the designation and commits to the 3 pillars of the Bee City Canada Program; creating healthy biodiverse pollinator habitat, educating whenever possible and celebrating.

Signature of Principal/Official *

Print Name

Date *

Message