Green School Works Technical Assistance Services Enrollment Form

Green School Works Technical Assistance Services Enrollment Form
Overview
MassCEC is seeking eligible public K-12 schools, districts, and educational collaboratives in Massachusetts (“Potential Participants”) for Green School Works: Technical Assistance Services ("Program") that are looking for support for capital planning that focuses on modern, energy efficient school buildings and facilities. The services will provide Participants with information on incentives and funding opportunities available for investing in energy efficient and fossil fuel free technologies and infrastructure.

To enroll, please complete this form. This online enrollment form includes questions about the potential Participant and their requested technical assistance services. Enrollment form progress will be saved automatically, so that the form can be completed over multiple sessions. A PDF version of the enrollment form is available for reference on the program webpage. Enrollment forms will be accepted on a rolling basis. However, potential Participants are encouraged to enroll early, as funding is limited. MassCEC will review enrollment forms as they come in and notify potential Participants via email if they are enrolled within six (6) weeks of their enrollment form submission.

For more information about Green School Works: Technical Assistance Services, please visit the Green School Works: Technical Assistance Services webpage. Questions concerning the program can be submitted via email to greenschools@masscec.com. All inquiries should include "GSW TA enrollment" in the subject line.

Note: If your school district or educational collaborative is enrolling for more than one technical assistance service, please submit one enrollment form per technical assistance service. For the purposes of enrollment, the representative completing this form will be considered the main point of contact for the project.

Contact Information
School District or Educational Collaborative Name*
Primary Contact Name*

First NameLast Name
Primary Contact Pronouns
Primary Contact Email*
example@example.com
Primary Contact Phone Number*
Please enter a valid phone number.
Primary Contact Title*
Primary Contact Organization*
If the person who will be signing the Participant Agreement is different than the Primary Contact, please provide their information below:
Secondary Contact Name (if applicable)

First NameLast Name
Secondary Contact Pronouns
Secondary Contact Email
example@example.com
Secondary Contact Phone Number
Please enter a valid phone number.
Secondary Contact Title
Secondary Contact Organization
If applicable, please select your organization's Diversity, Equity, and Inclusion qualifications from Massachusetts' Supplier Diversity Office. Check all that apply.

Minority Business EnterpriseWomen Business EnterpriseService-Disable Veteran Business EnterpriseVeteran Business EnterpriseLesbian, Gay, Bisexual, and Transgender Business EnterpriseDisability-Owned Business Enterprise

Program Requirements
Before completing this section, please review the Program Manual.
Have you reviewed the Program Manual, including the eligibility requirements for the program (see Section 3.1)?*

Yes
Do you attest that you meet the eligibility requirements for program participation? If you're not sure whether you meet the eligibility requirements, please provide a brief explanation below.*

YesNoI'm unsure
Have you reviewed the Program Manual, including the participation requirements for the program (see Section 5.1)?*

Yes
Have you reviewed the Program Manual, including the participation steps in the program (see Section 5.2)?*

Yes
To complete your enrollment form, please download and sign the Green School Works: Technical Assistance Services Participant Agreement form and upload the file below.

If you are not able to upload the file here, please email it to greenschools@masscec.com. Enrollment forms will not be considered complete without a signed Participant Agreement form.
File Upload

Cancelof

How did you hear about the program? Check all that apply.*

MassCEC emailMassCEC social media (Facebook, Instagram, X, or LinkedIn)Technical assistance vendorFriend or colleagueOther
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Green School Works Technical Assistance Services Enrollment Form

Overview

Contact Information

Technical Assistance Request

Project Site Utility Information

Project Site Details - Building 1

Project Site Details - Building 2

Project Site Details - Building 3

Project Site Details - Building 4

Project Site Details - Building 5

Project Site Details - Building 6

Project Site Details - Building 7

Project Site Details - Building 8

Project Site Details - Building 9

Project Site Details - Building 10

Project Site Details - Building 11

Project Site Details - Building 12

Program Requirements