CT Farm Energy Assessment Request

Redirecting you to a secure payment page…

{{profilePhoto.url?'':accountBasicInfo}}
- MY PROFILE
- Dashboard
- Log out

CT Farm Energy Technical Assistance Request

Logos%20Acknowledgement%20Tech%20Assistance%20(1).png

Account Registration

First Name *

Last Name *

Job Title *

Farm/Company Name *

Email *

Phone 1 *

Farm Address Line 1 *

Farm Address Line 2

City *

State/Province *

Zip/Postal Code *

Country

If mailing address is different from above physical address, please include mailing address in entirety here:

Which energy technical assistance service are you requesting? (Please select one) *

Please tell us about any energy efficiency or renewable energy measures that you currently have or would like to implement: *

Type of farm operation (greenhouse, field crops, nursery, dairy, beef, livestock, other): *

NAICS Code *

https://www.sba.gov/document/support-table-size-standards

Is there any residential usage on farm meter(s). Please Explain. *

Do you own or lease the land on which your farm is located? *

Annual Energy Consumption (Please list all applicable: kWh, Gallons/Pounds Fuel, etc.) *

Energy types used on the farm (Please list all applicable: Electricity, Oil, Propane, Wood, etc.) *

Disclaimer and Signature

Please acknowledge the following disclaimers by reading and typing your name.

I acknowledge that CT RC&D provides assistance to eligible applicants on a first come, first served basis. I certify that my answers are true and complete to the best of my knowledge. *

Photos of my farm or any project as a result of CT Farm Energy technical assistance provided may be used for educational purposes during workshop presentations and/or for website, brochure, or social media purposes by CT RC&D. *

In accordance with the reporting requirements of funding agents for this program, CT RC&D will share my farm contact information and information regarding services provided to me. *

Have an account? Log in

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.