Energy Masters - Community Volunteer Application for 2018-2019
Thank you for your interest in becoming an Energy Master. Please review the program requirements before applying: https://tinyurl.com/EMCommunityOption.

All questions are required. If you don't have an answer for a question, please respond with "none" or "not applicable."

Energy Masters provides an equal opportunity to volunteer to all persons regardless of race, color, religion, national origin, marital status, political affiliation, sexual orientation or gender identity, disability, sex or age, or other status protected by law.

Email address *
First Name and Middle Initial (if applicable) *
Your answer
Last Name *
Your answer
Mailing Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Contact Information
Home Phone Number *
Your answer
Work Phone Number *
Your answer
Mobile Phone Number *
Your answer
What is the best number at which to reach you? *
Required
What's the best time to call? *
Required
Email Address *
Your answer
What's the best way to reach you? *
Required
Emergency Contact Name *
Your answer
Emergency Contact Daytime Phone Number *
Your answer
Emergency Contact Evening Phone Number *
Your answer
Employment Experience
If you have more employment experience, please pick the most relevant.
Organization/Company Name 1 *
Your answer
Role/Duties *
Please include information about your experience in customer service, education, working with disadvantaged populations, or other relevant areas.
Your answer
Organization/Company 2 *
Your answer
Role/Duties *
Please include information about your experience in customer service, education, working with disadvantaged populations, or other relevant areas.
Your answer
Volunteer Experience
Please list the most relevant experience or the organization you have the most experience with. We may contact the organization concerning the information you have provided. (If none, please type n/a).
Organization 1 *
Your answer
Role/Duties *
Please include any offices held or other leadership positions. (Activities do not need to be related to energy efficiency or weatherization; many skills are transferrable to a variety of volunteer opportunities.)
Your answer
Organization 2 *
Your answer
Role/Duties *
Please include any offices held or other leadership positions. (Activities do not need to be related to energy efficiency or weatherization; many skills are transferrable to a variety of volunteer opportunities.)
Your answer
Please list professional certifications and professional association memberships *
Your answer
Your Background
Applicants will *not* be accepted into the program nor denied based on the responses below.
Describe your comfort level in performing hands-on home improvements *
What's a phillips head?
I can fix anything!
Please rate your knowledge of residential energy efficiency and water conservation tools and techniques *
What's an LED bulb?
I've cut my utility bills in half
Please rate your experience level in working with diverse and underserved populations *
I have very limited exposure
It's part of my daily experience
Please rate your confidence level in doing community outreach and education *
I prefer to work with things vs people
I can talk with anyone about anything
About You
In your own words, please share why you want to become an Energy Master? *
Your answer
At the end of the program year, what do you want to have contributed? What do you want to have learned? *
Your answer
What are your goals, if any, related to your interest in the Energy Masters program? *
Check all that apply
Required
Please select the option that best reflects how you anticipate engaging with the program once your training is complete *
Your selection below does not imply a commitment or obligation
References
Reference 1 name *
Your answer
Reference 1 relationship to you *
Your answer
Reference 1 daytime phone *
Your answer
Reference 2 name *
Your answer
Reference 2 relationship to you *
Your answer
Reference 2 daytime phone *
Your answer
How did you learn about the program?
Check all that apply *
Required
Registration Fee
There is a $75 registration fee, which covers the cost of expenses related to your participation in the program. Apply by July 31 to get early bird rate of $50.

All are welcome to participate, regardless of financial means. If the fee would be a barrier to your participation, please indicate below.

Payment of Registration Fee *
Required
Commitment Verification *
Required
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