E-Star: Advancing Energy Efficiency in Housing

Energy Raters
Homeowners and
Homebuyers		 Builders Energy
Raters		 Real Estate
Professionals		 Code Officials Utilities
 

Rater Training Course Application Form

Name
Organization
Address
City
State
Zip
Phone
Fax
Email
If you are selected, will you be performing ratings as an individual (sole proprietor) or as an employee of another company? If so, which company?
Who will be providing your insurance coverage? Self
Employer
Type of Computer and software used
If you are selected as an energy rater, what geographic area(s) will you be willing to serve?
What is your primary occupation?
Describe any training, education, and/or experience in all of the following fields applicable: Building, Contracting Architecture/Design, Engineering, Weatherization, Energy Auditing, HVAC, Home Inspecting, Residential Appraisal, Renewable Resources Technology and/or Policy, Conservation, or Other (Please be as specific as possible here. i.e., Give lengths of training, employment, and experience as well as names and locations of institutions/programs/employers. You may make attachments if you wish, including your resume.)
Check Boxes Below if you Agree and Understand these terms.
I HEREBY CERTIFY THAT I AM NOT CURRENTLY UNDER ANY INDICTMENT FOR AND HAVE NEVER BEEN CONVICTED OF FORGERY, THEFT, EXTORTION, CONSPIRACY TO DEFRAUD CREDITORS OR ANY OTHER FELONY ; AND THAT I HAVE A VALID, CURRENT COLORADO DRIVER'S LICENSE, NUMBER:
 

 
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