Greenovations Application Form

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Greenovations Retrofit Application
Greenovations is a student run initiative to reach out to the campus community and make their everyday lives “greener”. The aim of our committee is to promote individual sustainability through awareness of ways to live alternate lifestyles that are accessible, affordable and applicable. Our main initiative is to retrofit students’ homes, enabling them to lead their daily lives while saving money on energy, utilities and gas, at the same time, benefitting the environment as a whole.

Questions? Contact us at greenovations@ams.queensu.ca or check us out on facebook: https://www.facebook.com/pages/Greenovations-at-Queens-University/291376097553211

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* Required
1. Contact Information
Name *
Your answer
Address *
Your answer
Address 2
Your answer
Email Address *
Your answer
Phone Number *
Your answer
2. Do you have landlord permission? *
If you would prefer having Greenovations contact your landlord on your behalf, please provide their name and contact information in the "Other" option.
Required
3. Please provide details regarding your house/unit
Number of tenants *
Your answer
Number of kitchens *
Your answer
Number of washrooms *
Your answer
4. Does your house/unit have double-pane/double windows *
Required
5. What type of heating system is in your house/unit? *
6. This is a list of our retrofit initiatives.  Please check all that your are interested in.
7. If you checked yes to window sealing please indicate the number of windows.
Choose
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8. If you checked yes to weather stripping please indicate the number of doors.
Choose
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9. If you checked "Incandescent/fluorescent light bulb exchange" above, please indicate (approximately) how many light bulbs you would like to exchange. *
Choose
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5+
10. How did you hear about Greenovations? *
Your answer
11. Please provide any additional comments.  (Do you have any other concerns regarding your house that you would like us to take into consideration?)
Your answer
Submit
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