AGL Renewables Stage 1 Part 1: Project SummaryPlease complete Part 1 and submit this document by email to the Athlii Gwaii Legacy Project Specialist at agl@gwaiitrust.com.The AGL Project Specialist is available to support in filling out the form. Project Title * Date Submitted * Applicant Organization (Legal Name) * Location * Requested Amount * Please Choose the Appropriate Stream of Funding For Your Project: * Small Projects ApplicationMajor Projects ApplicationCommunity Energy Plan (CEP) If you have any questions regarding the application process, we can be reached at 250-626-7167.Primary Contact Information Name * Title * Email * Work Phone * Work Extension Cell Phone Mailing Address * Mailing Address Mailing Address Mailing Address City City Province Province Postal Postal Additional Considerations Please let us know if there are any considerations we should have while trying to contact you (e.g. working from home and only reachable by cell phone, alternate working hours, etc.)Use and disclosure of information:The Gwaii Trust Society collects, uses and discloses personal information for the purposes of delivering the Athlii Gwaii Legacy Grant Program. By submitting an application, the Participant consents and agrees that the GTS administrators and their contractors and authorize agents may:contact the Participant by phone, mail, email, or other method to administer, implement, evaluate, and research all elements of the program, verify information, share information on additional rebate opportunities, and to conduct surveys.collect and use information (including personal information) contained in the application or acquired during participation in the program (including during virtual assessments and site verification) and may disclose the information to affiliates and contractors, any Collaborating Party to administer, implement and evaluate the program, to conduct research, to confirm eligibility, to verify compliance, for quality assurance, and to develop other programs.Administrators collect, use and disclose personal information pursuant to section 15(b)-(e) of the Terms and Conditions in accordance with the Freedom of Information and Protection of Privacy Act (FIOPPA), sections 26 (c) and (e). For more information contact: agl@gwaiitrust.com or mail toP.O. Box 588, Masset, B.C., V0T 1M0 attn: AGL Project Specialist.Eligible Renewable Energy Type Please indicate the type of renewable energy project that you are proposing: * Project Overview Please provide a brief summary of the proposed project and the work that will be performed: * Expected Project Start Date: * Expected Project End Date: * Community Energy Planning & OverviewPlease Select CEP Plan Type: * New Community Energy Plan Update to existing Community Energy Plan Please provide a brief summary of the motivation for Community Energy Planning and the work that will be performed: * Expected Project Start Date: * Expected Project End Date: * Partners: Small Projects Stream Please list the contractors, consultants and partners you plan on working with for this project. * Partners: Major Stream Please list the Project’s key business partners including consultants, supplier agreements, distributors, and joint ventures, as well as partnerships with universities, non-governmental organizations, and other Remote Communities. * Please include the expected outcomes of the partnership(s). * Partnerships: CEP Please list the key business partners including any consultants, as well as partnerships with universities, nongovernmental organizations, and other remote communities. * Please include the expected outcomes of the partnership(s). * Next StepsUpon submission, Part 1 will be reviewed by the AGL Project Specialist.Once the AGL Project Specialist has reviewed your submission, you can begin Part 2 of the application.The AGL Project Specialist will work with you on fully completing the entire application. Submit If you are human, leave this field blank. Δ
