A partnership in research and education
Application Form
Please fill out the following form. It will be used to evaluate your company's energy usage so that the Energywise team can better prepare for an energy audit at your facility. Once this form has been reviewed and an audit is scheduled, you will be responsible for supplying the Energywise team with a year's worth of gas and electricity bills.

1. Company name:

2. Contact name:

3. Contact phone number:

4. Facility address:

5. Type of facility (i.e. automotive, food processing etc.):

6. Square footage of facility:

7. Approximate gas consumption (m3) in past calendar year:

8. Brief description of process and major equipment used:

 

 

9. Energy conservation programs currently in place: