University of Canterbury

Sustainability

* indicates required information

Flat name / Individual name: (If in a flat choose a name to identify your flat during eco-my-flat)*
Names of flatmates (if in a flat):
Name of flat representative: (main contact if in a flat)
Email*
Alternate Email
Flat Address
Phone
Cell Phone
Number of people participating*
Are you a student or staff member at UC?
Why do you/your flat want to participate in eco-my-flat?* (50-100 words)
How many people will be participating in workshops each week (approx)?