Energy Benchmarking
Instructions:
Complete this online Building Data Collection Form for each building and either mail or email the most current 12 consecutive months of utility bills, or a completed and signed Utility Data Release Form to:
Institutional K-12 Schools |
| Business Sector |
| Sector: |
Institutional |
| Segment: |
K-12 Schools |
| If this is Incorrect Please Select a Different Sector or Business Segment |
| Your Information |
| First and Last Name |
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| Email Address |
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| General Information |
| Name of Facility/Building |
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| Address |
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| Address - Continued |
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| City |
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| State |
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| ZIP Code |
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| Contact Person |
| First Name |
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| Last Name |
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| Job Title |
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| Address |
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| Address - Continued |
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| Phone |
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| Email |
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| Fax |
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| Mobile |
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| Building Information |
| Year Built |
e.g.. 2001 |
| No. of Students |
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| Hours of Building Occupancy per Week |
(when the majority of the building is being used) |
| No. of Months Building Operated per Year |
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| Size of Building |
(Sq. Ft.)
(Do not include any unheated areas) |
| No. of Floors |
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| School Type |
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| How is the Building Heated? |
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| Number of Personal Computers: |
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| How is the Building Cooled? |
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| Percentage of Building Cooled |
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| Utility Information |
| Electric Utility |
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| Electric Utility Account No. |
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| Heating Utility |
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| Heating Utility Account No. |
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| Other Information |
What are your biggest challenges to implementing energy efficiency measures?
(Check all that apply) |
| Funding |
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| Time |
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| Expertise |
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| Don't know how to get started |
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| Staff |
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| Or Other (Please Explain) |
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| Number of Walk-in Refrigerator/Freezer Units: |
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| Does the Building have a Pool? (Check all that Apply) |
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| Indoor: |
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| Outdoor: |
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| Olympic 50x25: |
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| Recreational 20x15: |
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| Short Course 25x20: |
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| No. of Months per Year Pool is in Use |
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| Building Operated on Weekends? |
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Instructions:
Complete this online Building Data Collection Form for each building and either mail or email the most current 12 consecutive months of utility bills, or a completed and signed
Utility Data Release Form to:
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