Introductory Questionnaire - Vermont Low Income Trust for Electricity

Name of Organization*

Organization Contact Person*

First Last

Job Title*

Daytime Phone*

Email*

Please briefly tell us about your idea or project

What are you aiming to accomplish (max. 50 words)?*

How will your project help low income Vermonters and advance the Comprehensive Energy Plan (max. 50 words)?*

Who would lead this project, and what gives you confidence they will succeed (max. 50 words)?*

With whom would you partner, and are potential partners already committed to working with you (max. 50 words)?*

What will be different and who will be better off if your work is successful? How will you know? (Max. 80 words)*

How much do you anticipate the work will cost, and what would you request of VLITE? Has any of the anticipated cost already been raised or covered by earned revenues? (Max. 50 words)*

Are you a 501(c)(3) or government agency?*

Yes
No

If no, do you have a non-profit fiscal sponsor?*

Yes
No

What is the name of the sponsor organization?*

Does your organization serve Vermont in some way?*

Yes
No

Which counties in Vermont does your organization serve?*

Organization Website

If there is no website, please provide the following:

List of board members

Annual organizational budget for the current year

Number of FTE staff employed by the organization