Nova Scotia School Registry Form for Recycling Services

Nova Scotia School Registry
Consent to Disclose Personal information
Consent to Disclose Personal Information Disclaimer

Before proceeding with registration, please read and provide your consent to the collection and use of your personal information by Circular Materials (CM). CM is requesting that you provide your consent to the collection and use of your personal information for purposes of managing school property recycling services and to comply with regulatory requirements under the Nova Scotia Readiness Report for Packaging, Paper products and Packaging-Like Products. The information collected may include your school contact name, address, telephone and email address and/or school building related information, and waste management service details. The personal information collected by CM will be stored securely on CM systems and will only be used for the above purposes. Your information may be shared with third-party service providers responsible for recycling collection , and as may be required by law with regulatory authorities. Your personal information will be retained only for the period necessary to fulfill these purposes or as required by law, after which it will be securely destroyed and/or deleted by CM. You have the right to access, correct, or withdraw your consent for the use of your personal information at any time by contacting us at privacy@circularmaterials.ca. For further details about how we protect your privacy, please review our Privacy Policy (https://www.circularmaterials.ca/privacy-policy). By continuing to the Nova Scotia School Registry Form, you acknowledge that you have read and consent to the collection and use of your personal information for the purposes listed herein.
Consent to disclose personal information acknowledgement: I consent to the collection and use of my personal information by, and the release of personal information to Circular Materials for the purposes listed above. I understand that my consent is only valid for the time it is needed to achieve the purposes herein, unless I withdraw it. I understand that I can withdraw my consent at any time. However, doing so may prevent Circular Materials from providing me with the necessary waste management service details and related recycling services. I agree that this electronic version of the acknowledgement shall be as valid as the original.*

YesNo
Contact Information
School or Centre for Education Name*
Recycling Contact Person's Full Name. Please indicate the person responsible for recycling collection at the school. *

First NameLast Name
Recycling Contact Person's Role, i.e.: Operations Manager, Principal, Custodian, etc. (Please indicate the person responsible for recycling collection at the school)
Recycling Contact Person's Telephone Number:*
Please enter a valid phone number.
Recycling Contact Person's Email
example@example.com
Please select the option that applies to your school or Centre for Education:

Public school(s)Private or independent school(s)Band-operated school(s)Alternative Learning Centre(s)
School(s) or Centre for Education(s) Information
Instructions for Completing the Form
Please carefully follow the instructions below when entering information for each school building in the chart.

1. Enter School Information
Use the table below to enter the address(es) of your school(s).
Include the School Name, Civic Number and Street Name, City/Town for each school building.

2. Managing Multiple Schools
If you manage more than 25 schools, please submit an additional form to provide all necessary details.

3. Current Recycling Collector
Enter the name of the current recycling service provider.

4. Paper Recycling Information
In the text box, provide the collection details for the Paper Recycling by indicating the quantity and size of the recycling receptacle, as well as the frequency and days of collection.
Example: 1 x 2-cubic yard dumpster picked up 3x weekly (Mon/Wed/Fri).

5. Cardboard Recycling Information
In the text box, provide the collection details for the Cardboard Recycling by indicating the quantity and size of the recycling receptacle, as well as the frequency and days of collection.
Example: 1 x 4-cubic yard dumpster picked up 1x monthly (Tues).

6. Containers Recycling Information
In the text box, provide the collection details for the Glass/Metal/Plastics Recycling by indicating the quantity and size of the recycling receptacle, as well as the frequency and days of collection.
Example: 3 x 95gal cart picked up 1x bi-weekly (Thurs).

7. Receptacle Types
The images provided below are examples of some Recycling Receptacles. If you are unsure about the receptacle type, consult your contractor or refer to your invoice details.

8. Notes Section
For any additional information you may wish to provide, there is a Notes section at the bottom of the form.
Examples of Recycling Receptacles

Please complete the chart, following the instructions abovementioned.*

	School Name	Civic number and street name	City/Town	Current recycling collector	Collection details for paper, e.g.: 1x 2-yrd bin or 1x95g cart picked up Tuesday/Thursday	Collection details for cardboard, e.g.: 2x 4-yrd bins or 2 x 95g carts picked up Mon/Fri	Collection details for containers, e.g.: 1x6-yrd bin or 1x 95g cart picked up every other Wednesday
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Notes section
Is there any additional information you wish to share?
Should be Empty:

Nova Scotia School Registry

Consent to Disclose Personal information

Consent to Disclose Personal Information Disclaimer

Contact Information

School(s) or Centre for Education(s) Information

Instructions for Completing the FormPlease carefully follow the instructions below when entering information for each school building in the chart.

Notes section

Instructions for Completing the Form
Please carefully follow the instructions below when entering information for each school building in the chart.