Audit Sign-Up Form
Thank you for your interest in Green Iowa AmeriCorps' energy audit and weatherization services. Please fill out this short interest form, and our nearest Green Iowa site will contact you to see if you qualify for a free energy audit.

Before we can perform any work in your home, we have a Participant Waiver & Consent Form (i.e. a liability waiver) that you must review, agree to, and sign. 

Green Iowa AmeriCorps is a state-wide environmental AmeriCorps National Service program operated through the University of Northern Iowa's Center for Energy and Environmental Education (CEEE). Residential energy audits/assessments and weatherization services are a part of the CEEE's Neighborhood Resiliency services. To learn more about the CEEE, please visit ceee.uni.edu.
First Name *
Last Name *
Street Address *
Include any apartment number, lot number, unit number, etc.
City, Zip Code *
Nearest Green Iowa Site *
These are the Green Iowa sites we have throughout the state. Please select the one nearest to you.

Important Notes about Each Site
Ames: This site can only serve City of Ames residents.
Cedar Falls: This site is a catch-all site; it can serve all Iowans regardless of location.
Des Moines: This site can only serve Dallas, Polk, and Jasper County residents.
Iowa City: This site can only serve Johnson County residents.
Preferred Method of Contact *
Phone Number *
Email Address
Enter your email address only if email is your preferred method of contact
Self-Identified Demographics *
Please select all that apply to you and/or the people living in your home.
Required
Are you the... *
Additional Comments
Write any additional comments or questions you have for us.
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