Your Business - Our Future Program Application Form

Your Business - Our Future Program invites applications from small businesses to participate in a pilot project to have a complete assessment of their operations Scope 1 and Scope 2 carbon emissions undertaken. 
Businesses chosen to participate in Your Business-Our Future Program, will be provided customised recommendations for their business, together with the provision of support to develop an action plan to monitor and reduce emissions within their business into the future. 

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Business Name
ABN
Business Address (physical location)
Industry
How many employees does your business have?
What LGA does your business undertake operations?
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Contact name
Phone Number
Email 
Please provide an overview of your business operations. i.e. What activities do you
engage in to generate revenue? For agricultural businesses please detail size of your
property and details of what you produce on an annual basis.
What motivates you to participate in the Your Business - Our Future Program?
How would participating in the Your Business -Our Future Program help your business?

Are you the owner of the business or have the authority to make decisions regarding the
implementation of actions recommended by the consultants delivering Your Business -
Our Future Program?
Accurate calculations of Scope 1 and Scope 2 emissions are data driven. Consultants will meet with you to understand your business and depending on your business activities, information such as electricity, fuel, gas and water consumption, as well as detailed
information on production may be requested (a more extensive list of potential requests for information are provided Appendix 1). Will you be able to provide this data for your business?
Do you consent to a Case Study being written and published on the outcomes of
participation in Your Business - Our Future Program for your business?
Would you be willing to share your experiences in the Your Business - Our Future Program
with the business community at a local workshop/event?
Are you able to pay the subsidised cost of $660 to participate in the Your Business - Our
Future Program?
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