Enrollment Form
Enrollment Form
Enrollment Form
An enrollment form must be submitted for each project, along with a completed checklist. A meeting is
required prior to plan review submittal to qualify each project into the program. For further information or to
schedule a meeting, please call 480-312-2346 or visit www.scottsdaleaz.gov/greenbuilding.
Architect/Designer: __________________________________________________________________
Builder: ___________________________________________________________________________
SUBMITTED BY:
_________________________________________________________________________________
NAME (PRINT) TITLE
_________________________________________________________________________________
SIGNATURE DATE
_________________________________________________________________________________
APPROVAL BY STAFF:
_________________________________________________________________________________
NAME (PRINT)
_________________________________________________________________________________
SIGNATURE DATE
12/18/2006