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Energy Globe Foundation GmbH

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Email: contact@energyglobein!o
"ebsite: www.energyglobe.info /participation
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PART I - GENERAL CONTACT INFORATION
!.! CONTACT "ETAIL# OF ORGANI$ATION
0only rele1ant i! submitted by an institution2com3any2organi4ation 5 indi1iduals 3lease com3lete 167
Full Name o! institution2
com3any2organi4ation:
)treet and street number:
#ostal code: (o8n:
'ountry: %9cial home3age:
(ele3hone:
0including country code: no
brackets or slashes7
%9cial com3any
email:
0ie
in!o@e;am3lecom3anycom7
!.% IN"I&I"'AL CONTACT "ETAIL#
First name: )urname:
Academic title:
Gender: 03lease mark 8ith
;7
0 7 ,ale 2 0 7 Female
)treet and street number:
#ostal code: (o8n:
'ountry: Email 0o! contact 3erson7:
(ele3hone:
0including country code: no
brackets or slashes7
,obile #hone:
0including country code: no
brackets or slashes7
PART II - PRO(ECT INFORATION ) O&ER&IE*
%.! GENERAL INFORATION
#ro<ect title:
)tatus o! im3lementation:
03lease mark 8ith ;7
0 7 #lanned
0 7 -m3lemented
3ro<ect or ongoing
3ro<ect
'ountry2'ountries o!
im3lementatio
n:
%.% PRO(ECT #'AR+
#lease summari4e 0=1>51? lines,7 8hat the 3ro<ect is about and 8hat ma<or outcomes ha1e been achie1ed 03lease state concrete @gures7,
es3ecially any rele1ancy in regard to en1ironmental 3rotection, im3ro1ement o! li1ing and2or economic conditions, a8areness creation,
emission reduction, rene8able energy, energy and resource e9ciency, counteracting climate change, etc: #lease use a !ormal 8riting
style as this summary 8ill be 3ublished in our online database 0use your2your organi4ationAs name in the te;t and do not use e;3ressions
like "e, -, our com3any, etc7
PART III ) "ETAILE" PRO(ECT INFORATION
#lease 3ro1ide a co,plete an- proper -e.cription at t/e 01ry2. re31e.t
A4 INITIAL #IT'ATION AN" CONTE5T OF T6E PRO(ECT/INITIATI&E
#lease 3ro1ide in!ormation 0ma; hal! a 3age, 6>>> characters7 on the initial situation 03roblems, challenges7 be!ore the 3ro<ect 8as im3lemented
Be3ending on the ty3e o! 3ro<ect, 3lease include the en1ironmental, ecological, economic, social, energy or other rele1ant conte;t o! your country
74 "E#CRIPTION OF PRO(ECT O7(ECTI&E AN" OTI&ATION
"hat 8as your o1erall moti1ation to start this 3ro<ect and 8hat ha1e been the 3ro<ectAs ob<ecti1esC 0ma; hal! a 3age, 6>>> characters7
C4 #COPE AN" IPLEENTATION ACTI&ITIE#
#lease describe in more detail 0ma; hal! a 3age, 6>>> characters7 the sco3e o! the 3ro<ect and the ma<or acti1ities that ha1e been conducted !or its
im3lementation
"4 INNO&ATION
#lease describe the inno1ati1e as3ects o! your 3ro<ect under consideration o! the technological standards and conditions 0ie regional conditions,
social conditions, economic conditions or 3olitical situation7 o! your country 0ma; hal! a 3age, 6>>> characters7
E4 IPLEENTATION AN" CO#T#
5 For 3ro<ects including a tec/nological co,ponent: #lease describe the technology a33lied, as 8ell as the costs and economic bene@ts 0ma; hal! a
3age7
5 For 3ro<ects including a .ocial co,ponent: #lease describe the a33roach that you ha1e chosen as 8ell as the social im3act o! your measures had
on 8hich target grou3s 0ma; hal! a 3age, 6>>> characters7
F4 "E#CRIPTION OF AC6IE&E" RE#'LT#
#lease describe in detail all direct and indirect results Be3ending on your 3ro<ect, 3lease !ocus es3ecially on en1ironmental and2or social and2or
economic im3acts resulting !rom the im3lementation o! your initiati1e "here 3ossible, 3lease include @gures 0ie number o! 3eo3le trained or <obs
created, tons o! '%
6
a1oided, m
D
o! 8ater treated, ,"h o! rene8able energy 3ro1ided, energy e9ciency be!ore2a!ter reno1ation, tons o! 8aste
collected2reduced, number o! trees 3lanted, etc7 or descri3tions on ho8 3eo3le or en1ironment ha1e other8ise bene@tted !rom your 3ro<ect 0ma;
hal! a 3age, 6>>> characters7
G4 REPLICATION POTENTIAL 8O"EL C6ARACTER4
#lease describe the re3lication 3otential o! your 3ro<ect in other regions or countries 0ma; hal! a 3age, 6>>> characters7
PART I& ) P6OTO# AN" PRO(ECT "OC'ENTATION
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Hou can also u3load additional 3ro<ect material
*3load these materials as 3art o! your online5submission on 888energyglobein!o23artici3ation2
PART & ) FINAL INFORATION AN" AGREEENT#
9.! 6O* "I" +O' 6EAR A7O'T T6E ENERG+ GLO7E A*AR":
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0 7 ,ail by Energy Globe 0 7 #rint media 0 7 Friends2'olleagues
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0 7 'ontact by Energy Globe Ambassador 0 7 %ther
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the yes @eld 8ith ;
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9.; #TATEENT OF AGREEENT 8ACCEPTANCE I# O7LIGATOR+ for .1b,i..ion4
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3ublication o! my 3ro<ect
- here8ith declare, that my statements regarding the submitted 3ro<ect are com3lete and correct and may in 3art or in total be 3ublished by Energy
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T/an< yo1 for co,pleting t/e re31ire- infor,ation.
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'trl5'2'trl5I into the online !orm (hank you !or your su33ort
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