Energility / Thriving Faith Communities - New Organization Application

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Energility / Thriving Faith Communities

Launched: January 1, 2022

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New Organization Application

Welcome. To start the application process, please fill out the information below on behalf of your organization and submit it. The application will be reviewed within the week to make certain the organization meets program criteria.

(all fields required unless marked as optional)

Organization Name:
Subset:
Contact
First Name:
Last Name:
Phone Number:	Format: xxx-xxx-xxxx Ext: *optional
Email Address:
Organization Financial Leader (if different than contact) What is this?
First Name:	*optional
Last Name:	*optional
Organization Address
Address Line 1:
Address Line 2:	*optional
City:
State:
Zip Code:
Building Targeted for Energy Improvement (if different than Organization)
Address Line 1:	*optional
Address Line 2:	*optional
City:	*optional
State:	*optional
Zip Code:	*optional
Primary Target Building Use

Target Building Size (square feet)
Exact:	*optional
Estimate:	*optional
Approximate Original Building Age (in years)

Questions/Comments
Comments:

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New Organization Application

Contact

Organization Financial Leader (if different than contact) What is this?

Organization Address

Building Targeted for Energy Improvement (if different than Organization)

Primary Target Building Use

Target Building Size (square feet)

Approximate Original Building Age (in years)

Questions/Comments