Energy Storage for Social Equity Application Form

The deadline for the Energy Storage for Social Equity Initiative application has passed. Please email ES4SE@pnnl.gov with questions or if you’d like to stay in touch.

First name*

Last name*

Job title*

Organization*

Phone number*

Email*

Preferred Contact Method.*

A PNNL team member will contact you to discuss the application further so please ensure contact information is accurate

Phone

Describe disadvantaged community setting.*

Select all that apply

Low income, high and/or persistent poverty

High unemployment and underemployment

Racial and ethnic segregation

Linguistic isolation

High housing cost burden and substandard housing

Distressed neighborhoods

High transportation cost burden and/or low transportation access

Disproportionate environmental stressor burden and high cumulative impacts

Limited water and sanitation access and affordability

Disproportionate impacts from climate change

High energy cost burden and low energy access

Jobs lost through the energy transition

Access to healthcare

Tribal jurisdictions

Other (must explain below)

Energy objectives of interest.*

Select all that apply

Access

Affordability

Decarbonization

Environmental Impact

Resiliency

Social Impact

Other (must explain below)

Please explain in brief why you are interested in this technical assistance program.*

Partnership is key to success. Applications will be selected on whether the applicant team has the capacity (time, effort) to interact with the technical assistance provider and use the results. In the box below, please describe the team or applicant. If the applicant anticipates capacity issues but believes they would be a good candidate for the technical assistance process, please explain:*

For the technical assistance to advance equity, community voices and consultation is essential. The applicant must be a relevant stakeholder or representative for the identified disadvantaged community. Please describe the applicant’s relationship to the community, in brief.*

What will this assistance help you do?*

Why do you think analysis or partnership with us will help you with that outcome?*

What previous work have you conducted, or are aware of, that would contribute to this program?*

Who is on your team?*

Why are you/the team a relevant stakeholder to the disadvantaged community?*

What is your vision of an energy system that overcomes the current challenges?*