Application form for Public Sector Organisations

Your Details

Title

First Name

Last name

Your role in the business

Contact Address

Postcode

Telephone number

Mobile number

Email address

Organisation details

Organisation name

Organisation address

Postcode

Organisation website address

Additional details

Brief overview of your organisation and its main activities

Please select what type of legal structure your business has (tick which apply):
Local authorityHousing AssociationTown/Parish CouncilHigher EducationGovernment Organisation/AgencyNHSOther (provide details)

About the support you need

Please tell us any specific areas you think you are interested in (tick all that apply)
Energy efficiency/savingBiomass technologyNew low carbon product/processRenewable Heat technologyRenewable Electricity technologyFinding out all viable low carbon optionsOther (please list)

Please outline any specific project ideas you already have and explain how far you have developed these.

Please outline what sort of support you need.

State Aid

The Dorset Low Carbon Economy Programme is provided through the European Regional Development Fund (ERDF) and must comply with the EU rules on State Aid. It is your responsibility to understand the State Aid implication of your application. Please confirm below if you have received State Aid before. We will contact you for further details following your expression of interest, as required.

Has your organisation received any State Aid in the last three years?
YesNon/aDon’t know

If you answered YES, please provide further details.

Name of applicant

Date