Energy Stewards Sign Up Form

Please provide the following information in order to get started using H-IPL's Energy Stewards Program.

1. Basics

Congregation

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Primary Contact Name

First Last

Primary Contact Phone

Primary Contact Email

Worship Facility Attributes

(Can use estimates if needed to get started)

*Year Built

*Gross Floor Area (sq ft)

*Weekly Operating Hours

*Seating Capacity of Sanctuary

*Gross Floor Area Used for Commercial Type Food Preparation, if any (sq ft)

Number of Weekdays Open

Number of Computers in Building

Number of Commercial Refrigeration/Freezer Units

*Used for benchmarking energy use performance.

If your congregation devotes a major part of it's building to another use (such as a school or offices), let us know the square footage of each of those areas. (We may need additional attribute details, depending on the type of space).

Space Use and Square Feet:

2. Utility serving your house of worship

We need to know your utility provider company names and web addresses, as well as your account numbers, username and passwords. These are required for our update of monthly utility data. All login details are held confidentially by our provider and its service representative, and used only for the purpose of logging into the appropriate account, gathering the relevant monthly utility data, and logging out. If no additional data is available, we will begin with the earliest monthly data available from the utility.

Electric Company Name

Electric Company Account Number

Electric Company Web Address

Electric Company Username

Electric Company Password

Gas Company Name

Gas Company Account Number

Gas Company Web Address

Gas Company Username

Gas Company Password

Water Company Name

Water Company Account Number

Water Company Web Address

Water Company Username

Water Company Password

Additional Questions:

Does your worship building generate renewable energy?

YES
NO

If yes, if there is an additional website reporting monthly energy production, please provide web address, and log in information to access. Will allow monthly updates.

What base year have you chosen for your energy conservation calculation?

Please share any other information, complications, or questions you may have?