Energy Innovation Coaches Mentoring Programme

Energy Innovation Coaches Mentoring Programme

Application form for companies and organizations that are interested in receiving an energy audit for free
Name of the company*
Company website or Facebook or LinkedIn account (if any existing):
Industry*
Other - please specify
Product/Service*
Location*
Approximate number of employees*
Has your company implemented an energy management system (ISO 50001)?*

YesNo
Has your company implemented and energy efficiency measures?*

YesNo
If yes, please, specify which
What is the approximate annual energy consumption at your company, please indicate in kWh/a or MWh/a?*
Would you be able to share the energy data including energy consumption information with the energy auditor?*

YesNo
Please note that in order to perform an energy audit and make all required calculations and analysis it is very important to receive the energy consumption and technical data.
Are you planning to implement energy efficiency measures at your company?*

YesNo
Do you have allocated budget for implementation of energy efficiency measures?*

YesNo
Why would you like to receive an energy audit?*

To receive an analysis and report about the company’s energy consumptionTo implement energy efficiency measures based on the results of the energy auditTo implement an energy management systemTo reduce fuel billsTo improve energy performance of the building/companyTo reduce carbon emissionsTo increase the company’s productionOther (please indicate)
Please, indicate the contact person for participating in the program:*

First NameLast Name
Position*
Email*
example@example.com
Phone number*
Privacy Policy, Renac

RENAC conforms to the European Data Protection Regulation and shall process and store the information you provide only for the period necessary to achieve the purpose of storage.
Privacy Policy*

I have read and agree with the terms of RENAC's privacy policy (see link above)
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