Free and Reduced-Cost Energy Upgrade Services
Submitted by Who
Staff
Unknown
Initial Contact Channel
Application Source
Referral Partner Id
Check all that interest you
Yes, I want FREE Quick Energy-Saving Installs
Yes, I want my whole home inspected for energy efficiency upgrades
Yes, I want solar panels on my roof
Yes, I want to subscribe to a community solar project through Neighborhood Sun
I don't know! I'd like to start by learning more from a Civic Works Energy Advisor
Contact Information
First Name
Last Name
Mobile Number
Home Number
Email
Address
Street Address
Street Address Line 2
Add your apartment number here
City
State
Postal / Zipcode
Income
We offer grants to weatherize homes based on whether your income is above or below 85% of the AMI limit shown below. Are you above or below?
Above
Below
Household Size
Annual Household Income
(80% AMI)
1
$72,950
2
$83,400
3
$93,800
4
$104,200
5
$112,550
6
$120,900
7
$129,250
8
$137,550
Help us spread the word
List any friends or family you recommend who can benefit from our services, their name and phone number:
List any community centers, community associations, places of worship, or workplaces that you recommend for a presentation by Civic Works Energy Programs?
How did you hear about us?
Any final comments or questions for a Civic Works Energy Advisor?
For Staff
Staff Name
Event Name
Tentative Site Visit Date
Tentative Site Visit Time of Day
ex: 1pm, morning, or 3-5pm
Any additional comments for Energy Advisors to be aware of?
Contact Information