Green Energy Neighbors Signup Form

Welcome! We are excited for your interest in Green Energy Neighbors, your gateway that connects households who are considering home efficiency and energy improvements with community members who have experience making those improvements.

We are a cost-free service developed and administered by a dedicated group of Ann Arbor-area volunteers who aim to inspire in-home climate action. 

We are seeking potential Learners and Mentors who are interested in helping each other to make Ann Arbor a sustainable, carbon free in joining us to pilot this program:

Learners: The neighbors who are interested in learning more about one or more green energy projects and would like to hear from neighbors with experience.

Mentors: The neighbors with experience with one or more green energy projects, willing to share their experiences with other neighbors.  

Sign in to Google to save your progress. Learn more
How did you hear of Green Energy Neighbors?  (check all that apply) *
Required
Are you interested in becoming a Mentor, Learner, or Both? *
Consider your selection above for the sections below, answering the Mentor section (if you selected "Mentor" above), the Learner  section (if you selected "Learner" above), or Both sections  (if you selected "Both" above).

As a Learner, what projects are you interested in? 
(check all that apply)
Please add any further explanation of what you are interested in Learning about?
As a Mentor, what projects are you interested in? 
(check all that apply)
Tell us a little about the project(s) you’ve had experience with:
First Name? *
Last Name? *
Email? *
Phone? (e.g. 123-456-7890)
 *
By clicking "Yes" below, you agree to the terms of the Green EnergyNeighbors (GEN) / Citizens Climate Lobby (CCL) Liability Waiver. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Michigan.

Does this form look suspicious? Report

Google Forms