Wufoo

Faith Community Information

Please provide information about your place of worship/faith community.
Name of Faith Community *
Faith Tradition *

Please list the faith tradition and denomination of your faith community
Place of Worship Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

For faith communities without a designated place of worship, please provide the mailing address of the faith community.
Main Phone Number ### - ### - ####
Fax Number ### - ### - ####
Web Site
Name of Faith Leader First Last
Title/Role
Green Facilitator Information

The Green Facilitator is the contact person for the faith community who coordinates greening efforts at the place of worship. The Green Facilitator can be a volunteer with an environment committee or Green Team or a staff member of the faith community. The Green Facilitator must be supported by the faith community and permitted to submit this application on their behalf.
Green Facilitator Name * First Last
Email *
Home Address of Facilitator
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number ### - ### - ####
Work Phone Number ### - ### - ####
Alternate Phone Number ### - ### - ####
Greening Sacred Spaces

Please share information about how your faith community is going green.
Method of Organizing: Do you have a green team or committee that coordinates greening efforts? Please describe.
Interests and Priorities: Are you planning an energy or waste audit, related educational events, or focusing on specific environmental issues (water, climate change, pollution, etc)?
Past Greening Efforts: Have you conducted any greening activities already? If so, please describe your efforts and when they occurred.
Support: What kind of support or information do you require to carry out your goals towards sustainability?
Energy Audit & Retrofits

Provide details if the faith community has conducted an energy audit and/or retrofits
Audit details, follow-up, status, etc.

Please include when the audit was conducted and by which organization.
Attach a File: Energy Audit

Please attach a copy of the Energy Audit if available.
What Retrofit actions have been taken?
What plans are in place for future retrofits?
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Wufoo

Faith Community Information

Green Facilitator Information

Greening Sacred Spaces

Energy Audit & Retrofits