1.Your Name

2.Business Name

3.Which project are you applying for? (Please select from the list on the Application Guide document)

(Each organization will only be granted 1 x $1,000 prize or the Blue Roof Design, however you can apply for multiple projects by filling out this form again, if multiple projects would benefit your organization and the planet.)

4.If this project is more expensive than $1,000, is your organization willing to pay the rest of the amount?

Yes

No

5.If selected to receive the incentive, do you agree to share at least 2 x photos of the completed project for GEL's media campaigns and allow a GEL representative to visit the site?

Yes

No

6.If selected to receive the incentive, do you agree to set a sustainability baseline and target in the corresponding category? (GHG Emission Reduction, Waste Reduction, Water Reduction or Environmental Stewardship)

Yes

No

7.In 2 -3 sentences, briefly describe why this project is important to you.

8.Please provide your email address, so that we can contact you with any further questions or to verify the validity of the project.