Greener
Apartment Identifier
Welcome to The Green Apartment Network's Greener Apartment Identifier, a points-based program that enables Wisconsin property
owners and managers of up to 25 units to assess and then to justifiably claim
that they are “on the road to sustainability.”
To be considered for the Greener
Apartments Program, landlords must complete at least one action
in each of the seven sustainability categories. Please only select
actions that your property
already has, or that you have already accomplished, not actions
that are planned
for the future. Your rentals must be in Wisconsin .
Yes, I understand.
General Information
Number of Units in This Property _______ Please fill out one form for each property.
Contact Information of Person Completing Application
First Name
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Last Name
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Email Address
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Street Address
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City
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Zip
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Phone Number
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Please share how you discovered the Green Apartment Identifier Program here:
1. Energy Actions
Have you invested in these energy efficiency measures (select all that apply)
Energy efficient lighting (Energy Star rated or
DesignLights Consortium)
Energy efficient
water heaters or
furnaces/boilers (Energy Star or better)
Energy efficient
appliances (such as Energy Star or other
certification)
Motion sensors, timers, or
other lighting controls
Smart
meters/energy management software
Insulation, air sealing, energy-efficient windows or
other building envelope measures
Other
Is your building LEED, Green Globes, Energy
Star or certified under some other system?
Yes
Level _________________________________ (please specify or describe)
No
For this building, does owner pay:
__ gas bill
__ electric bill
Is there a non-standard agreement in the lease or otherwise allocating
how much owner and tenant(s) will pay for some or all of the utilities?
Yes
No/Not Applicable
If yes,
please describe:
If owner pays electric, do you purchase
green power or renewable
energy from your utility
company? For example, Madison Gas & Electric Green Power Tomorrow ™ http://www.mge.com/environment/green-power/gpt/.
Yes
No/Not Applicable
Have you evaluated this building for energy
savings opportunities or conducted building performance evaluation? (Similar to
what used to be called an “energy audit”.)
Yes
No/Not Applicable
2. Water
Actions
Have you invested in water conservation technologies (select all that apply)
Low-flow toilets/urinals (less than 1.6 gallons per flush)
Low-flow faucets/shower-heads (less than 2 gallons per minute)
High efficiency clothes washer (Energy Star)
None/Not Applicable
Do you monitor and track your water usage compared to previous time
periods and/or in comparison to similar properties to check for water leaks?
Yes
No/Not Applicable
Have you implemented storm water management techniques? Please select
all that apply.
Rain gardens
Green roofs
Rain barrels
Other (please describe) ______________________________________________
None/Not Applicable
3. Transportation Actions
Are your properties convenient for commuting
via public transportation?
Yes
(How close to bus stop or train station?_______________________________)
No/Not Applicable
Are covered bike racks or indoor bicycle
parking/storage areas available for tenants?
Yes
No/Not Applicable
Yes
No/Not Applicable
IF you do provide on-site automobile parking, is there a charge or fee
for parking?
Yes
No/Not Applicable
4. Supplies
and Materials
If you have done a remodel or rehab on this property, have you used:
Re-used
supplies, appliance, materials or furniture?
Non-toxic
materials or supplies?
Minimized
waste into landfills or donated old items for re-use or re-purpose?
No/Not Applicable
If you have not done a remodel or rehab on this property, have you used any of the
following in the general ongoing management and maintenance of this property?
Re-used
supplies, appliance, materials or furniture?
Non-toxic
materials or supplies?
Minimized
waste into landfills or donated old items for re-use or re-purpose?
No/Not Applicable
5. Community
and Educational Outreach Actions
Have you created a program or process
for tenant feedback
and suggestions on sustainable practices? For example,
do you ask them, provide
feedback forms or surveys,
or have paper or online comments or suggestions specifically for environmental or
green issues or topics?
Yes
No/Not Applicable
Have you set up an incentive program for tenants to reduce their energy
use while at home? For example, do they get reduced natural gas or electric
bills directly (tenants pay) or rent credits of any sort for reduced energy
use?
Yes
No/Not Applicable
If yes, please describe:
Do you actively
educate your tenants or other stakeholders on energy
conservation practices (i.e. provide energy saving tips or how-to
information on paper, online, in live workshops)?
Yes (what do you do? _____________________________________________________)
No/Not Applicable
Do you
actively educate your tenants or other stakeholders on water conservation and
water efficiency/reuse?
Yes (what do you do _______________________________________________________)
No/Not Applicable
Do you
actively educate your tenants on waste minimization, composting, waste
reduction, and/or recycling?
Yes (what do you do _______________________________________________________)
No/Not Applicable
6. Governance Actions
Does your
business' vision/mission/values statement include sustainability goals?
Yes
No
If you would
like to share your mission or vision statement(s), please do so here:
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Please
select one of the following and submit this form to Green Apartment Network
I have taken at least one action in every
sustainability category, and I wish to be considered for the Greener Apartments
program.
I have not
completed at least one action in every category. I understand that I will not
be included in the program at this time.