Sign up for Rising Sun’s No-Cost Energy and Water Efficiency Services!

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Thank you for trusting Rising Sun Center for Opportunity to help you reduce your carbon footprint and lower your utility bills, and thank you for your interest in participating in our Green House Call program. Please complete this form to help us determine if you qualify for our no-cost* energy and water efficiency services.

This program is available for people who reside in Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, and Sonoma counties, as well as in the City of Stockton.

If you have any questions, please call (510) 665-1501 ext. 300 (Bay Area) or (209) 890-4341 ext. 301 (Stockton). You may also email us at eekits@risingsunopp.org with any questions you have.

*No-cost services are only available while supplies last, and for those households that qualify to receive the service.

AcctID

Contact Information

First Name

Last Name

Phone Number (ex: 123456790)

Email Address

Preferred Contact Method

Preferred Language

If Other, Please Specify

Residential Location

County of Residence

City of Residence

Residential Address

Residential Street Address

e.g. 123 Main St

Residential Unit/Apt Number (if applicable)

e.g. Apt 1

City of Residence

Zip Code of Residence

State of Residence

What type of house do you reside in?

Select all that apply to your multi-family dwelling:

Built before 2008Built after 2008Retrofitted since 2008 to meet Title 24 building energy efficiency standardsYour best guess is OK

Is your mailing address the same as your residential address?

YesNo

Mailing Street Address

Mailing City

Mailing Zip Code

Mailing State

Hidden helper fields

Residential Street Address Helper - House Number only

Residential Street Address Helper - House Number + First letter of next word

Residential Street Address Helper - House Number + next word

City Helper

Complete Residential Address

Complete residential Street Address (please ensure that your selection includes your apartment or unit number)

If you do not see your address, please check that you inputted the street number and city correctly on the last page. Also, please given this field some time to load. It is searching through a large database of addresses.

If you are UNABLE to find your COMPLETE residential street address, please check the box below:

I am unable to find my complete residential street address

Complete residential Street Address

Hooray! If you live in Alameda, Contra Costa, Marin, Napa, San Francisco, San Mateo, Santa Clara, Solano, or Sonoma county, you most likely live in a region that is eligible to receive a no-cost kit* containing energy and water-saving measures.

After you complete this 15 minute survey, and as long as your home meets our eligibility requirements, we will ship an energy and water efficiency kit directly to your door. If you receive a kit, instructions on how to install each device will be included. We will not provide direct installation services.

If you have any questions, please call (510) 665-1501 ext. 300. You may also email us at eekits@risingsunopp.org with any questions you have.

Hooray! You live in a city in which we provide our no-cost energy and water efficiency services in-person.

In order for us to confirm that your home meets our eligibility requirements, and for us to be able to reach out to you to schedule an appointment, please complete this form.

Residential Information

Are you a homeowner or renter?

How many bedrooms are in your home?

What is the square footage of your home?

What type of water heater do you have?

What year was your home/apartment built?

Access Agreement

To continue with the survey, you must read and agree with the access agreement below. In summary, the agreement states that: 1) If you are to receive a kit, it will be at no-cost to you 2) There is a small chance the California Strategic Growth Council will contact you to conduct an audit of the measures you installed from the kit. This will most likely be done virtually. "This agreement is between Rising Sun and Client (rightful and legal occupant or owner at address listed in this survey). As used throughout this document, Rising Sun and Client are individually referred to as “Party” and collectively as “Parties”. Upon the completion of a self-guided efficiency assessment, Rising Sun will ship a no-cost energy and water-saving kit to the client, equipped with materials that will in no way permanently alter the premise. In addition to this, the client will receive an efficiency assessment along with personalized savings advice. This will constitute the “Project.” The following terms will govern this project.
RISING SUN AGREES: Costs: To bear all of the actual costs associated with performing the Project. Confidentiality: Not to use the names or identifying characteristics of the Client or the Client’s residence for advertising, sales promotion, or other publicity or public or landlord disclosure without the Client’s written approval. CLIENT AGREES: Communication: To permit Rising Sun to contact the Client via email, text, or telephone call regarding all communications related to the Project. Post-Inspection Permission: To permit Rising Sun, the California Strategic Growth Council, the local water district, the State or designated representative, or one of their subcontractors to contact Client for a post-inspection follow-up. No-Cost Service: Client understands that Client is not obligated to purchase or pay for any service provided by this program. Confidentiality: Not to use the names or identifying characteristics of Rising Sun for any advertising, sales promotion or publicity or public disclosure of any kind without prior written approval by Rising Sun. Information Sharing: To permit survey and household information, which may include identifying characteristics, collected to be shared with funders, cities, the California Strategic Growth Council, the State or designated representative, local water districts or departments, or subcontractors thereof, for reporting and/or audit purposes as needed. Ownership: That Client is either the rightful or legal occupant or owner of the residence. If Client is not the owner of the residence, Client takes full responsibility for any Rising Sun services that may conflict with any lease agreement. Benefits: Client understands that Rising Sun, the Strategic Growth Council, and the State do not make any warranty or representation of any kind regarding the benefits to be derived from the services or any of the products installed at the residence in the performance of the services. BOTH PARTIES AGREE: Incidental or Consequential Damages: NEITHER PARTY SHALL BE LIABLE TO THE OTHER FOR ANY INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES, except for claims based upon the grossly negligent acts of one or both parties. Ownership of Information: Rising Sun may provide the Client with information about its findings regarding this Project, but Rising Sun shall have ownership rights, including exclusive copyright ownership, in all data, reports, research results, summaries, information, or other written, recorded, photographic or visual materials produced and collected during the term of this agreement. Rising Sun is receiving funds from the California Climate Investments Transformative Climate Communities Program and the #CaliforniansForAll Youth Jobs Corps for this Project, but Parties agree that the California Climate Investments Transformative Climate Communities Program through the Strategic Growth Council and the #CaliforniansForAll Youth Job Corps are not liable to either Party for any losses or damages, including incidental or consequential damages, arising from this Agreement. California consumers are not obligated to purchase any full fee service or other service not funded by this program. This program is funded by cap-and-trade dollars through the California Strategic Growth Council’s California Climate Investments Transformative Climate Communities Program and is also supported by funding from the #CaliforniansForAll Youth Job Corps."

To continue with the survey, you must read and agree with the access agreement below. In summary, the agreement states that: 1) If you are to receive a kit, it will be at no-cost to you 2) There is a small chance the Bay Area Regional Energy Network (BayREN) will contact you to conduct an audit of the measures you installed from the kit. This will most likely be done virtually.

"This agreement is between Rising Sun and Client (rightful and legal occupant or owner at address listed in this survey). As used throughout this document, Rising Sun and Client are individually referred to as “Party” and collectively as “Parties”. Upon the completion of a self-guided efficiency assessment, Rising Sun will ship a no-cost energy and water-saving kit to the client, equipped with materials that will in no way permanently alter the premise. In addition to this, the client will receive an efficiency assessment along with personalized savings advice. This will constitute the “Project.” The following terms will govern this project.

RISING SUN AGREES:
Costs: To bear all of the actual costs associated with performing the Project.
Confidentiality: Not to use the names or identifying characteristics of the Client or the Client’s residence for advertising, sales promotion, or other publicity or public or landlord disclosure without the Client’s written approval.

CLIENT AGREES:
Communication: To permit Rising Sun to contact the Client via email, text, or telephone call regarding all communications related to the Project.
Post-Inspection Permission: To permit Rising Sun, BayREN, the local water district, the State or designated representative, or one of their subcontractors to contact Client for a post-inspection follow-up.
No-Cost Service: Client understands that Client is not obligated to purchase or pay for any service provided by this program.
Confidentiality: Not to use the names or identifying characteristics of Rising Sun for any advertising, sales promotion or publicity or public disclosure of any kind without prior written approval by Rising Sun.
Information Sharing: To permit survey and household information, which may include identifying characteristics, collected to be shared with funders, cities, BayREN, the State or designated representative, local water districts or departments, or subcontractors thereof, for reporting and/or audit purposes as needed.
Ownership: That Client is either the rightful and legal occupant or owner of the residence. If Client is not the owner of the Residence, Client takes full responsibility for any Rising Sun services that may conflict with any lease agreement.
Benefits: Client understands that Rising Sun and BayREN do not make any warranty or representation of any kind regarding the benefits to be derived from the services or any of the products installed at the residence in the performance of the services.

BOTH PARTIES AGREE:
Incidental or Consequential Damages: NEITHER PARTY SHALL BE LIABLE TO THE OTHER FOR ANY INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES, except for claims based upon the grossly negligent acts of one or both parties.
Ownership of Information: Rising Sun may provide the Client with information about its findings regarding this Project, but Rising Sun shall have ownership rights, including exclusive copyright ownership, in all data, reports, research results, summaries, information, or other written, recorded, photographic or visual materials produced and collected during the term of this agreement.

Rising Sun is receiving funds from BayREN for this Project, but Parties agree that BayREN is not liable to either Party for any losses or damages, including incidental or consequential damages, arising from this Agreement.

California Consumers are not obligated to purchase any full fee service or other service not funded by this program. This program is funded by California utility ratepayers under the auspices of the California Public Utilities Commission (CPUC)."

Do you agree to the statement above?

I agree to the statement above.

Walkthrough & Energy Assessment - Exterior

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Outside doors weather stripped?

Do you feel drafts in your home?

Walkthrough & Energy Assessment - Hallway

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Is there a thermostat?

If yes, which of the following?

Manual

Pr

ogrammable Smar Smart Thermostat

t Thermostat

Is there a dryer?

Is there an Energy Star logo on the dryer?

What type of dryer do you have?

Is there a washing machine?

Is there an Energy Star logo on the washing machine?

What load type is your washing machine?

Front Top

Walkthrough & Energy Assessment - Bedrooms

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Do the bedroom window frames fit tight or have caulking?

Are there double pane or storm windows in your bedroom(s)?

Walkthrough & Energy Assessment - Bathrooms

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Do the bathroom window frames fit tight or have caulking?

Are there double pane or storm windows in your bathroom(s)?

Are the plumbing holes under the bathroom sink(s) properly sealed or caulked?

Is there a WaterSense logo on at least one of your toilets?

Walkthrough & Energy Assessment - Kitchen

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Do the kitchen window frames fit tight or have caulking?

Are there double pane or storm windows in your kitchen?

Do you have a dishwasher

Is there an Energy Star logo on the dishwasher?

Is there an Energy Star logo on the fridge?

Is the fridge dial set in the middle?

Is the freezer dial set in the middle?

Is there a recycling bin?

Is there a compost bin?

Are the plumbing holes under the kitchen sink properly sealed or caulked?

Walkthrough & Energy Assessment - Living Room

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Do the living room window frames fit tight or have caulking?

Are there double pane or storm windows in your living room?

Walkthrough & Energy Assessment - Water Heater

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Are the heating/cooling air ducts insulated?

Does the water heater have an insulating blanket?

Does the water heater have insulation on the hot water pipe?

Is the water heater dial set to the middle?

Does the water heater have a vent/flue/chimney emerging from the top, and a pilot light (ie, is a GAS heater)?

Walkthrough & Energy Assessment - Irrigation & Other Water Questions

The questions in the "Walkthrough & Energy Assessment" and “Home Energy Use Information” will allow us to provide you with a personalized report of your home’s energy use.

Do you use a hose to water your yard?

Do you water your yard in the early morning or late evening to reduce evaporation?

Of all the area that you water, what percentage is lawn?

Please answer with a whole number between 0 and 100

Do you have an irrigation system?

If so, is it automatic?

If automatic, do you know how to adjust the settings?

Does it shutoff automatically when it rains?

How many days per week do you run your irrigation system?

Please answer with a whole number between 0 and 7

What type of irrigation system do you have?

Sp

ray

DripBoth

Do you use a rain barrel to collect rain water?

Does at least one of your hoses have a hose spray nozzle?

Do you use compost or mulch in your garden?

If you have a pool or a Covered hot tub

spa, do you cover it?

Home Energy Use Information

This section allows us to understand if you may be eligible for deeper savings through partner programs.

Is there A/C in the house?

If yes, what kind of A/C?

On average, how many hours a day do you run your A/C during peak warm season (Jun-Oct)?

Is there heating in the house?

If yes, what type of heating?

Deferred Maintenance

This section allows us to understand how future/partner programs may best support you

Is your household currently experiencing broken or drafty windows?

Is your household currently experiencing broken or drafty doors?

Is your household currently experiencing mold or mildew?

Is your household currently experiencing pests?

E.g. rodents, termites, ants, roaches, etc.

Is your household currently experiencing lead or asbestos?

Is your household currently experiencing electrical breakers that regularly trip?

Is your household currently experiencing other deferred maintenance hazards?

If yes, please specify the hazards your household is experiencing

Green Pledge & Resident Education

The Green Pledge and Resident Education section encourages and informs residents on how they can go even further in their energy efficiency journey to maximize energy and money savings.

Are you interested in making simple changes to conserve your energy or water use?

If yes, are you more interested in conserving Energy or Water?

Which of these ENERGY-saving pledges do you commit to?

Which of these WATER-saving pledges do you commit to?

Other Programs

This section allows us to refer you to other programs you may be interested in. Your information will never be shared without your consent and we will never sell your information under any circumstances.

Check this box if you are NOT INTERESTED IN completing energy efficiency improvements through BayREN’s single family home energy program.

Check this box if you are NOT INTERESTED IN hearing from one of our partner organizations on how to further lower your environmental impact (e.g. increase your energy savings, switch to renewable energy, reduce your water usage, etc.)?

Check this box if you are NOT INTERESTED IN hearing from Rising Sun in the future regarding support, new initiatives, and expanding programs.

In the past four years, has your home been modified under any of the following energy efficiency programs? (Select all that apply)

Low-Income Weatherization Program (LIWP)Low-Income Home Energy Assistance Program (LIHEAP)Department of Energy (DOE) federal programsAnother organization or company has performed significant energy efficiency upgradesNone of the above apply to my current residence

IF DEEMED ELIGIBLE, would you like your energy and water efficiency kit to include flood light bulbs (see image for

reference)?

IF DEEMED ELIGIBLE, would you prefer to receive 1 smart power strip or multiple smart plugs?

Note 1: These are very similar devices.

The smart power strip will reduce your power usage by FULLY shutting down power to all of the products connected to your television (e.g. speaker, gaming system, DVD player) when your television is off and not allowing them to go into standby mode.
A smart plug will similarly allow you to reduce this "vampire" draw of energy but only from one device at a time. A smart plug will also give you the capability to control the flow of power (turn on/off, set schedules/routines) to that device from your smartphone.

Note 2: Smart plugs require you to have a smartphone and to download an app on your phone

Note 3: Preference only available while supplies last

Power strip Smart Power Strip

Sma

rt plugs

Work Type

Final Information

How did you hear about the Green House Call program?

If other, please specify

What is the main reason you signed up to receive a Green House Call?

Additional Comments

By checking this box, you agree to permit Rising Sun to contact you via email, text, or telephone call regarding all communications related to the Green House Call program.

I agree

Campaign

Email Response

Email Subject