EarthTeam
Million Kilowatt Hour Challenge
Your Idea! Action Project Proposal Form


If project involves more than one student, please SUBMIT SEPARATE FORMS FOR EACH STUDENT.
Submit a Student and Teacher/Adult Supervisor Validation Form at the completion of your project.

Your Idea Title ______________________________________________________

Description ________________________________________________________

Student Name (Print) ____________________________________ Age_________

Student Signature __________________________________ Date_____________

Student Address ______________________________________________________________________

City ___________________________________________________________ Zip__________________

Student E-mail _______________________________________________________________________

Student Phone_______________________________________________________________________

School Name ________________________________________________________________________

School County ______________________________________________________________________

School Address _______________________________________________________________________

City ___________________________________________________________ Zip_________________


Return to:

MKHC Your Idea! Project Proposal
PO Box 4686
Walnut Creek, CA 94956
Fax: (925) 376-1456