Final Report: Energy Efficiency Matching Grant

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Please use this form to submit a final report one year after the improvements made with the matching grant funds have been completed. This report includes financial accounting of the grant and initial results following completion of the work. Please submit relevant invoices by email to GIPL's Program Associate, Ayesha Abid, ayesha@gipl.org or by mail to: 701 S. Columbia Dr., Campus Box 326, Decatur, GA 30030. Failure to submit a timely final progress report may limit your ability to receive additional matching grants.

Congregation Name (official name) *

Tax ID Number *

Congregation Address *

Primary Contact for Matching Grant *

Primary Contact phone number *

Primary Contact email address *

When did your congregation receive the matching grant *

YYYY

Matching Grant Award Amount *

Matching Grant Award Description *

Please provide 3-5 sentences detailing the work you have done with the matching grant. Please submit any relevant invoices to GIPL's Program Associate, Ayesha Abid, ayesha@gipl.org.

Project Completion Date (Actual or Estimated) *

YYYY

Progress Towards Implementation *

Estimated Annual Energy Savings *

> 30%

20%-30%

10%-20%

<10-%

Required

Describe any unusual events that may have impacted energy use during the year following implementation of energy efficiency upgrades *

How has the energy efficiency grant impacted your faith community and its programs? *

What was the source of your grant match? *

Special fundraising (e.g. capital campaign)

In-kind donations

General operating budget

Other

Required

Does GIPL have your permission to post your above comments on our website and other GIPL publications? *

Yes

Other:

What other ways has environmental stewardship been embraced by your congregation? *

Does your congregation have a Registered Green Team? *

If you have a Green Team, but it is not registered with GIPL, please register your Green Team at http://www.gipl.org/cultivate/green-team-registration/.

Are you interested in using other GIPL resources? *

Solar Wise

Water Wise

Green Team Coaching

Active Hope Workshop

Drawdown Georgia Workshop

Advocacy Training

Creation Care 101 Workshop

Climate and Health Workshop

Good Food Workshop

This Little Light of Mine: Green Power for Black Churches Workshop

Other Educational Opportunities

Other:

Required

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