Energy Committee Assistance Grant

Energy Committee Assistance Grant Application

Organization

Target Community

Amount Requested

$

Description of Project

One Paragraph

Anticipated Completion Date

MM

DD

YYYY

Name

First Name

Last Name

Email

Phone

(###)

###

####

Applicant certifies that: 1) they are authorized to represent the Organization applying for a grant, 2) the information contained in the application is accurate, 3) the grant will be used only for the purpose outlined above, 4) the Applicant will publicly acknowledge the grant and will cooperate with Energize Vermont in the issuing of a press release.