Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What type of institution are you?

School

Synogogue

Camp

Business

Non-profit

Other

Do you have a 501(c)(3)? *

Yes

No

Does your community support environmental efforts?

My community does not support environmental efforts

My community is open to environmental efforts

My community supports environmental efforts strongly

Do you own your own building(s)?

Yes

No

Are you familiar with rooftop Solar?

Yes, very familiar

Only slightly

Not at all

Any building or renovation plans being considered in your institution?

Yes

No

Maybe

Do you believe that your institution will be able to raise at least 50% of the solar equipment and installation costs?

Yes

No

Maybe