Carbon Smart Workshop Program Expression of Interest
Complete this expression of interest form based on the Carbon Smart EOI document. All fields are optional unless the original document clearly marks them as required.
Business & Contact Details
Business Name
Trading As
ABN
Business Address Street Address
Business Address Street Address Line 2
Business Address Suburb
Business Address State
Please Select
ACT
NSW
NT
QLD
SA
TAS
VIC
WA
Business Address Post Code
Primary Contact Name
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Motivation for Applying
What has motivated you to apply for the Carbon Smart Program?
Reduce input costs (fuel, energy, fertiliser)
Understand carbon footprint (baseline measurement)
Meet customer or supply chain expectations
Prepare for certification (e.g. SWA, Freshcare)
Improve vineyard performance and resilience
Access expert guidance and support
Identify emission reduction opportunities
Strengthen sustainability credentials
Other
If Other motivation, please specify
Current Emissions Tracking
Have you started to track your winery/vineyard emissions?
Please Select
No
Scope 1
Scope 1 & 2
Full footprint (Scopes 1, 2 and 3 calculated)
What tools or systems are you currently using?
Priority Areas / Objectives
Reduce operating costs - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Improve sustainability performance - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Climate resilience - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Certification readiness - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Market positioning - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Innovation & technology - importance
Please Select
Not Important
Low
Moderate
Very Important
Essential
Other
Challenges
What are your key challenges?
Lack of time
Lack of knowledge
Cost of implementation
Data collection difficulties
Uncertainty about where to start
Limited internal resources
Difficulty getting leadership buy-in
Other
If Other challenge, please specify
Program Participation / Logistics
Interested in joining a carbon platform (e.g. Carbonhalo)?
Please Select
Yes
No
Unsure
Are you available on July 21st, 9am - 1.30pm, Nikola Estate Winery?
Please Select
Yes
No
Declaration
Are you registered with the Carbonhalo Program?
Please Select
Yes
No
Name
Declaration - Date
-
Month
-
Day
Year
Date
Submit
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