Champlain College Sustainable Initiatives Fund Application Form
To request Sustainable Initiatives Fund financing for projects that are not initiated by Facilities, please complete this form. Applicants are encouraged to establish financials, implementation details, and the project timeline as completely as possible on your own. However, you may consult with Facilities and the Committee for advice and assistance, if necessary. 

Only after project details have been clearly detailed and reviewed by the Committee will the proposal be voted on.

Deadlines are November 1 and March 1
Sign in to Google to save your progress. Learn more
Project Title *
Project Location
Project Leader Name *
Project Leader Title *
Project Leader Email *
Project Leader Phone *
Champlain College Affiliation (If you're a student, you will need an additional staff or faculty member to sign on as project liaison/partner) *
Required
Secondary Contact Name
Secondary Contact Title
Secondary Contact Email
Secondary Contact Phone
Describe Your Project: How will the funding be used? How will it make Champlain more sustainable? How will it: engage the community, provide environmental education, and/or promote a culture of sustainability at Champlain? *
Implementation: Tell us how you envision the work in your proposal getting done. What is your ideal timeline? Who would you like to see oversee the implementation plan? What support and resources do you think you will need in order to complete this project? Please be as specific as possible. *
Long-term viability: How long will this project be in action for? How will long-term maintenance and ownership be decided? *
Measuring success: How will you measure your success? Please provide an estimate of any cost savings, emissions, reductions or other qualitative or quantitative improvements. Will the benefits outweigh the costs of construction/implementation? *
Are there examples of similar projects at Champlain or elsewhere that have been successful? Please provide details. *
Estimated Project Start Date *
MM
/
DD
/
YYYY
Estimated Project Completion Date? *
MM
/
DD
/
YYYY
Total Estimated Project Cost *
Matching Funds or In-Kind Support (funding received elsewhere):
Total Funding Request from the Sustainable Initiatives Fund: *
Please attach a link to your spreadsheet with the breakdown of your costs (as detailed as possible but don't fret about formatting) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Champlain College. Report Abuse
Google Forms