Directions: Circle the points if “Yes” or write an “X” for “No.”
Student Name:
Teacher's Name:
Date:
Date:
Date:
Points
During Day
End of Day
Doors Closed
Lights Off *
Blinds/Windows Closed
Turn Off Equipment End of Day
5
5
2
2
LCD Projector (is it off when not instructing?)
1
0.5
0.5
0.5
0.5
Energy
Doc Cam
TV
Computers
* leaving all lights and lamp on
-1
Waste Reduction (*see back for examples)
Utilizing Scrap Paper Bins*
Proper Use of Recycling Bin*
Methods to Reduce Paper (once per week)*
5
5
2
Total Points
Student Name:
Teacher's Name:
Date:
Date:
Date:
Points
During Day
End of Day
Doors Closed
Lights Off *
Blinds/Windows Closed
Turn Off Equipment End of Day
5
5
2
2
LCD Projector (is it off when not instructing?)
1
0.5
0.5
0.5
0.5
Energy
Doc Cam
TV
Computers
* leaving all lights and lamp on
-1
Waste Reduction (*see back for examples)
Utilizing Scrap Paper Bins*
Proper Use of Recycling Bin*
Methods to Reduce Paper (once per week)*
Total Points
5
5
2
Waste Reduction Examples
1. Utilizing Scrap Bins
 Is the bin visible and accessible?
 Is there scrap paper in the bin? (any paper only used
on one side)
 Is the scrap paper use encouraged during class?
• Warm-ups, exit tickets, reflections, draft
paper, class notes, passes, etc.
2. Proper Use of Recycling Bin
 Is the bin near the garbage can?
 Is the updated poster hanging on or near the bin?
 Are there mostly recyclable materials in the bin and
not in the trash?
3. Methods to Reduce Paper
 2-sided handouts (like this paper)
 handouts printed two or more on one page (like this
paper)
 class-sets of handouts
 documents projected with docu-cam instead of
being copied