Lane’s Living Green Fund Request FormPlease complete this form to be considered for funding from Lane's Living Green Fund. Division / Department: * Full name of person submitting form: * Email of person submitting form: * Working Title of Project/Idea: * Project/Idea Location: * Type of resource for your project:Water Efficiency - (examples: low flow water fixtures, dish washers, rain water harvesting, storm water systems, pervious pavement, etc) Energy Efficiency - (examples: efficient lighting; day-lighting, LED lighting, lighting controls. plug load controls; timers, occupancy sensors, heating/cooling, refrigeration, equipment and/or controls. insulation, weatherstripping, etc. Includes active or passive solar thermal solar heating and/or cooling systems) Resource Efficiency/Materials Management & Purchasing - (examples furniture; composting/recycling systems; paper management systems, etc) Renewable Energy - (examples: solar electric generation, geothermal systems for heating, cooling & hot water; wind generation systems) Which type of resource is your project focused on? * Water Efficiency Energy Efficiency Resource Efficiency/Materials Management & Purchasing Renewable Energy Project Description: * (Limit 1200 characters) Funding Amount Requested: * How much are you planning on spending: $50 to $9,999 - (break room improvements, office energy efficiency) $10,000 to $49,999 - (equipment purchase; area upgrades) equal or over $50,000 - (usually space remodels, building additions) Spending plan: * $50 to $9,999 - Green Team $10,000 to $49,999 - Green Achiever equal or over $50,000 - Green Enterprise Project Lead/Departmental Liaison: * Project Team Members: * Leave this field blank
