Calvary Baptist Church SLC: Application for No-cost Home Energy Upgrades

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Hello and thank you for taking the time to apply for a home energy upgrade! Through a collaboration with Utah Clean Energy and UMCOR, grant funds are available for up to 15 households to receive no-cost home energy efficiency upgrades.

If you are selected to receive the free upgrades, a representative from Energy Experts (on behalf of Dominion Energy's Thermwise Program) will contact you to schedule a time to update your attic insulation, install a smart thermostat, install energy-saving LED light bulbs, and provide air-sealing to plug drafty leaks.

Please complete the application below to be considered for the home energy efficiency upgrades. Leadership from Calvary Baptist Church will select and notify participants based on the information submitted.

Email *

First Name *

Last Name *

Phone Number *

Address *

City *

Zip Code *

What County do you live in? *

Salt Lake County

Davis County

Weber County

Other:

Do you rent or own your home? *

Own

Rent

Have you previously participated in attic insulation or air sealing programs from Dominion Energy in the past 10 years? *

Yes

I don't know

What year was your home built?

What is your household income?

Under $25,000

From $25,000 - $40,000

From $40,000 - $60,000

From $60,000 - $85,000

$85,000+

Clear selection

How many people live in your household?

How many children under 5 live in your home?

How many adults over the age of 70 live in your home?

Does your household participate in any assistance programs? (SNAP, HEAT, WIC)

Is your HVAC system compatible with the Nest Smart Thermostat? *

Please check you system's compatibility with the smart thermostats here: https://store.google.com/us/widget/compatibility/thermostat?hl=en-US&GoogleNest

Yes

Unsure

Please share any additional information about why you would like your home to be considered for an energy efficiency upgrade.

A copy of your responses will be emailed to the address you provided.

Submit

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