Solar Grant and Energy Efficiency Application Form

Background: Sunny Side Development has a mission of providing affordable, sustainable housing to low-income families in Wisconsin.  We would like to offer 25 solar and energy efficiency grants to qualified families, which will reduce their household carbon emissions to zero.  Such upgrades will also provide low-income families with significant monthly cost savings in the form of reduced utility bills.  Eligible participants must make less than 80% of County Median Income and own their own home.  Grant amounts will be commensurate with need, and are expected to range from $5,000 to $30,000 each.  To be considered for a grant, please fill-out the following intake application.

Please provide information for the head of household or contact person:
Name:
Address:
City, State:
County:
Do you own your own home?
Phone:
Email:
Do you have a south-facing roof with limited obstruction?
Please provide the following information for the entire household:
Number of people living in the home:
Total annual household income:
Home square footage:
Number of bedrooms in the home:
For our funding sources, please choose 'yes' or 'no' to the following:

One of more family members has a diagnosed physical or mental disability

One of more family members is a military veteran or the spouse of a deceased veteran

Household has 3 bedrooms or more

Household makes 50% or more of its annual income from agricultural activities

Home is located on a federally-recognized Indian Reservation

Home is considered rural, defined as being located within a township with a population of 50,000 or less and is not contingent to a city with a population larger than 50,000

Home is located within a federally declared disaster area, including the following counties: Adams, Ashland, Barron, Bayfield, Burnett, Clark, Crawford, Dane, Douglas, Fond du Lac, Forest, Green Lake, Iron, Juneau, La Crosse, Langlade, Marquette, Menominee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Polk, Portage, Richland, Rusk, Sauk, Shawano, Vernon, Waupaca, Wood

I confirm the above information is true to the best of my knowledge and authorize its release to outside parties:
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