Champion Environmental Change: Submit Your Green Initiative Proposal

Your Full Name

Employee ID Number

Work Email Address

Department

Current Role/Title

Years with the Company

Proposed Initiative Title

Do you have an identified Executive Sponsor or Senior Champion for this initiative?

Executive Sponsor Name and Title

Cross-Functional Team Members

Which departments are represented in your core team? (Select all that apply)

Please specify other department(s):

Will you require additional volunteer support from other employees during implementation?

Estimated number of additional volunteers needed:

Briefly describe your stakeholder engagement strategy. Who else needs to be informed or consulted?

Preferred communication method for project updates

Specify preferred communication method:

Describe the specific environmental problem or inefficiency you have identified. What evidence supports this problem statement?

Which primary environmental impact area(s) does this initiative address? (Select all primary categories)

Specify other environmental impact area:

Quantify the current baseline metrics for the problem area. What is the current state?

Baseline Environmental Metrics (Current State)

What is the geographic scope of your initiative's impact?

Describe the specific remote employee group and how you will engage them:

Describe the expected environmental benefits and improvements. Quantify where possible (e.g., reduction in kWh, gallons of water, lbs of CO2e, waste diverted).

Does this initiative align with your organization's published sustainability goals or ESG commitments?

Specify which corporate sustainability goal(s) or target(s) this supports:

Explain why this initiative is still critical despite no direct alignment:

Rate the level of innovation this initiative represents for our organization (1 = Common Practice, 5 = Breakthrough Innovation)

Are there any potential negative environmental trade-offs or rebound effects from this initiative?

Describe the trade-offs and your mitigation strategy:

Assess the potential risks associated with this initiative

Have you consulted with relevant subject matter experts (e.g., Facilities, IT, Legal) to validate technical feasibility?

Summarize key feedback and feasibility confirmation received:

Total Funding Requested (USD)

Detailed Budget Breakdown

Calculated Total from Table Above (USD)

Are you requesting the maximum budget amount ($5,000)?

Justify why the maximum amount is essential and describe any cost-saving measures already applied:

Describe any in-kind contributions (volunteer labor, existing equipment, donated materials, departmental resources) and their estimated monetary value.

What is your preferred funding source?

Specify proposed cost-sharing arrangement and participating departments:

Will this initiative generate direct cost savings (e.g., reduced energy bills, lower waste disposal fees)?

Projected Cost Savings Analysis

Do you have quotes or estimates from potential vendors/suppliers?

Upload vendor quotes or estimates (PDF, Excel, or images)

Explain your cost estimation methodology and research conducted:

Have you prioritized sustainable/eco-friendly suppliers or products in your budget?

Describe the sustainability criteria used for vendor/product selection (e.g., recycled content, energy efficiency, local sourcing, B-Corp certification):

Proposed Project Start Date

Proposed Project Completion Date

Total Project Duration (weeks)

Implementation Approach

Describe your pilot scope, success criteria for pilot expansion, and phasing plan:

Describe your iterative cycles and review points:

Key Milestones & Deliverables

What are the key dependencies or prerequisites for successful implementation? (Select all that apply)

Specify other dependency:

Are there any potential operational disruptions during implementation?

Describe the disruption, affected stakeholders, and your mitigation plan (e.g., after-hours work, phased approach, temporary alternatives):

Describe your change management and employee engagement strategy. How will you drive adoption and behavioral change?

Will specialized training be required for employees or the project team?

Training Requirements

Do you have a contingency plan if key milestones are delayed?

Summarize your contingency approach:

Select the PRIMARY key performance indicators (KPIs) you will track to measure success. Choose up to 5 core metrics.

Specify other primary KPI:

KPI Targets & Measurement Details

Will you need to purchase or develop specific measurement tools or software?

Specify required tools and associated costs (should be included in budget):

How frequently will you report on progress and KPIs?

Define the specific success criteria that must be met for this project to be considered fully successful at the 6-month mark.

Have you established a plan for sustaining this initiative after the initial funding period ends?

Describe your sustainability plan, including ongoing funding sources, ownership, and continuous improvement process:

Does this initiative have potential to be scaled or replicated across other departments or locations?

Describe the scalability potential and what would be required to expand this initiative:

Will you conduct a formal post-implementation review and capture lessons learned?

Outline your approach for capturing and sharing lessons learned:

Rate your confidence level in achieving the following outcomes

Additional Comments or Supporting Information

I confirm that all information provided in this proposal is accurate to the best of my knowledge and that I have secured agreement from all listed team members and the executive sponsor (if applicable) to participate in this initiative.

I agree to provide regular progress reports and participate in a final impact assessment upon project completion.