REAP Screening Form A form for the Renewable Energy for America Program grant Contact InformationFirst Name(Required) Last Name(Required) Email(Required)Email address of the person submitting this form Phone(Required)Phone number of person submitting this formCompany / Organization Name(Required)The name of the company / organization applying. If none, use NA. Organization WebsiteProvide a link to your website or LinkedIn page. Organization Email(Required)Main email for the organization Best way to reach you?(Required)Select oneEmailPhoneEither Email or PhoneOtherAddress(Required) Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Your Project DetailsHave you reviewed the program details?(Required)We encourage all prospective applicants to carefully read the program details here.Choose One…YesNoPartlyWhat's the size of your operation? Less than 10 acres 10 to 50 acres 50 to 100 acres 100 to 500 acres 500 to 1,500 acres 1,500 to 5,000 acres 5,000 acres and above Total Project Cost(Required) <= $80,000 $80,001 < $200,000 $200,000 – $500,000 $500,000 – $2,000,000 > $2,000,000 Open to Expanding the Project?(Required)PCARE prefers working with clients pursuing the large grant category, which is for projects with total project costs exceeding $200,000. Are you open to considering options for expanding your project to achieve the minimum required for PCARE to engage?Choose One…YesMaybeNoMatch Funding(Required)Do you have match funding to bring to the project?Choose One…YesNoMaybeEligibility(Required) Small Business Agricultural Producer Do you have site control for the useful life of the project?(Required)Choose One…Yes – I'm the land or business owner or part of the projectYes – I have a lease that includes the changes contemplated for the duration of the projectUnsure – the project has not yet been discussed with the land or business ownerFeasibility Study Required?(Required)Some projects require a feasibility study. Do you know if yours does?Choose One…Yes, it is requiredYes, it isn't requiredWe don't know if it is required or notAre you registered in SAM?(Required)SAM registration can take several weeks. We recommend you get registered as soon as possible.Choose One…YesNoUnsureDisqualifying Items(Required)Do any of the following apply to you: outstanding delinquent federal taxes, debt, judgement or debarment?Choose One…YesNoProgram Interest(Required) Loans Grants Project Design Status(Required)Indicate which items have been completed so far. (“Determined” means you have elements you have decided you want to include but have not yet contracted them. Fixed means those selections have been contracted already.) Site determined Elements being considered Some elements tentative Some elements determined Some elements fixed All elements tentative All elements determined All elements fixed Support on Energy Assessment / Audit(Required) You have an assessor / auditor and will complete the assessment soon. You don’t have an assessor / auditor selected yet but will soon. You would like referrals to qualified assessors / auditors to assist you. You don’t plan to complete an energy assessment / audit. Not sure if an assessment / audit is required Funds Utilization (How do you plan to use the funds?) Purchase and/or installation of renewable energy systems Purchase, installation and construction of energy efficiency improvements Is your project site located in a disadvantaged community?(Required)To determine if your project is located in a Disadvantaged Community or a Distressed community, please use the following USDA look-up map. Instructions appear on the righthand side of the map and a legend and layer list are located in the upper righthand corner of the map.Choose One…YesNoUnsureHave you calculated the length of the payback period?(Required)Choose One…YesNoHave you calculated the energy generated / saved / replaced?(Required)Choose One…YesNoHave you previously received REAP funds?(Required)Choose One…YesNoUnsureWill your project have other measurable environmental benefits?(Required)Choose One…YesNoUnsurePlease give a brief overview of the benefits(Required) Have you contacted the state USDA REAP director?(Required)Choose One…YesNoUnsureOther Interests(Required)PCARE provides grant writing and supporting services, and we have a network of technical partners to whom we can refer clients or subcontract services under PCARE if you are interested in any of these additions beyond just preparing the grant application. Let us know if you would like to learn more about any of the following: Project design services – REAP scope only Project design services – holistic (includes REAP scope and other elements) Grant administration services (post award) Project implementation management / consulting Regenerative agricultural practices Electric / hydrogen vehicles / equipment Electric or hydrogen vehicle charging Building construction / retrofits / upgrades Lighting Water management technologies Holistic – includes REAP and practices such as agrovoltaics, long-term energy storage, and more None, I’m only interested in REAP Other Level of Support(Required)What level of support are you looking for from PCARE? Lead and PM – PCARE will lead the grant process, managing the grant effort, taking lead on writing all components and requesting information from you for that purpose, writing, editing and finalization of all components. Support – Your team will lead the effort and PCARE will provide support for writing or editing as directed Review only – Your team will fully complete all sections and components of the application and seek for PCARE to review and provide critical feedback on your work Not sure Budget for Services(Required)Give us an idea of your budget for REAP development support: Not sure None Flexible <= $5,000 $5,001 – $10,000 $10,001 – $15,000 $15,001 – $20,000 $20,001 – $30,000 $30,001 – $40,000 $40,001 or more How did you hear of PCARE?(Required) Already a PCARE client Referral / Word-of-Mouth LinkedIn Facebook Twitter Tik Tok Website Google Search Bing Search Other Search Engine Add any additional commentsUntitled First Choice Second Choice Third Choice PhoneThis field is for validation purposes and should be left unchanged.
