Charged for Change

Application Form

Applications to the Charged for Change program open on November 4^th, 2024 at 12:00 p.m. EST and close on February 20^th, 2025 at 4:00 p.m. EST.

Community Information

Name of your Community*(This field is required)
Note: as per the Application Guide, Community refers to both Indigenous communities and registered municipalities.

Are you an Indigenous Community?*(This field is required)

Administration Office Address*(This field is required)

Administration Office Phone Number*(This field is required)

Community Web Address*(This field is required)

Community Social Media Accounts*(This field is required)

Primary Contact*(This field is required)

Primary Contact Email*(This field is required)

Primary Contact Phone*(This field is required)

Preferred Method of Contact*(This field is required)

Population*(This field is required)

Existing EV chargers and charging heads in the Community*(This field is required)

What climate threat has spurred your Community to act on climate change?
Note: Please answer based on the experience and context of your specific Community.

Does your Community have an electric vehicle fleet? Or do you have plans to convert the Community fleet to EVs in the future?
Please describe and, if applicable, provide supporting documents.

Does your Community have a council-approved climate action plan? If yes, please provide a link to the plan.
If you don’t have a climate action plan but follow other environmental guidelines, please provide the details here or link to the guidelines.

How did you hear about the program?*(This field is required)

Project Information

Please provide a short description of why your Community is undertaking this project and the benefits that it will bring.
Note: Please ensure your answer is specific and focuses on your Community.*(This field is required)

Expected project start date*(This field is required)

Expected project completion date*(This field is required)

Proposed Project Sites (please complete the following for each site)

Site One*

Site Name*(This field is required)

Site Address*(This field is required)

Installation category*(This field is required)

Number and type of chargers and charging heads planned for the site*(This field is required)

Why did you choose this location? (ex. proximity to workplaces, safety, proximity to groups of MURBS, lighting, accessibility, etc.)*(This field is required)

Is the site in the vicinity of workplaces or MURBS (multi-unit residential buildings)? Provide details.*(This field is required)

Is the site easily accessible to the public? Provide details.*(This field is required)

Is the site well-lit (i.e. safe when using at night)? Provide details.*(This field is required)

What would the overall experience be when charging an EV at this site? (e.g. are there amenities close by or activities to do while charging?)*(This field is required)

Site Two

Site Name

Site Address

Installation Category

Number and type of chargers and charging heads planned for the site

Why did you choose this location? (ex. proximity to workplaces, safety, proximity to groups of MURBS, lighting, accessibility, etc.)

Is the site in the vicinity of workplaces or MURBS (multi-unit residential buildings)? Provide details.

Is the site easily accessible to the public? Provide details.

Is the site well-lit (i.e. safe when using at night)? Provide details.

What would the overall experience be when charging an EV at this site? (e.g. are there amenities close by or activities to do while charging?)

Site Three

Site Name

Site Address

Installation category

Number and type of chargers and charging heads planned for the site

Why did you choose this location? (ex. proximity to workplaces, safety, proximity to groups of MURBS, lighting, accessibility, etc.)

Is the site in the vicinity of workplaces or MURBS (multi-unit residential buildings)? Provide details.

Is the site easily accessible to the public? Provide details.

Is the site well-lit (i.e. safe when using at night)? Provide details.

What would the overall experience be when charging an EV at this site? (e.g. are there amenities close by or activities to do while charging?)

Site Four

Site Name

Site Address

Installation category

Number and type of chargers and charging heads planned for the site

Why did you choose this location? (ex. proximity to workplaces, safety, proximity to groups of MURBS, lighting, accessibility, etc.)

Is the site in the vicinity of workplaces or MURBS (multi-unit residential buildings)? Provide details.

Is the site easily accessible to the public? Provide details.

Is the site well-lit (i.e. safe when using at night)? Provide details.

What would the overall experience be when charging an EV at this site? (e.g. are there amenities close by or activities to do while charging?)

Site Five

Site Name

Site Address

Installation category

Number and type of chargers and charging heads planned for the site

Why did you choose this location? (ex. proximity to workplaces, safety, proximity to groups of MURBS, lighting, accessibility, etc.)

Is the site in the vicinity of workplaces or MURBS (multi-unit residential buildings)? Provide details.

Is the site easily accessible to the public? Provide details.

Is the site well-lit (i.e. safe when using at night)? Provide details.

What would the overall experience be when charging an EV at this site? (e.g. are there amenities close by or activities to do while charging?)

Funding

What is the total project cost? *(This field is required)

How much funding are you requesting?*(This field is required)

Are you looking for other sources of public funding to increase your project size? (e.g. add additional Level 2 chargers as a separate project, add Level 3 chargers as a separate project)*(This field is required)

If yes, please list amounts and whether the funding is secured.

Name of duly authorized signing officer*(This field is required)

^*A duly authorized signing officer should be an individual who is authorized to apply for this Project on behalf of the Organization and make the acknowledgements and attestations above.

Please send photos of site(s), a detailed project budget and quotes from contractors detailing project expenses to: chargedforchange@earthday.ca with subject line “[Community Name] Supporting Documents” by no later than February 20^th, 2025.

By submitting this application, the applicant confirms that he/she has reviewed the Application Guide and agrees to the terms and conditions as outlined.

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Charged for Change

Applications to the Charged for Change program open on November 4^th, 2024 at 12:00 p.m. EST and close on February 20^th, 2025 at 4:00 p.m. EST.

Community Information

Project Information

Proposed Project Sites (please complete the following for each site)

Site One*

Site Two

Site Three

Site Four

Site Five

Funding

Please send photos of site(s), a detailed project budget and quotes from contractors detailing project expenses to: chargedforchange@earthday.ca with subject line “[Community Name] Supporting Documents” by no later than February 20^th, 2025.

By submitting this application, the applicant confirms that he/she has reviewed the Application Guide and agrees to the terms and conditions as outlined.

Make a claim or Call us or FAQ

Make a claim

Call us

FAQ

Charged for Change

Applications to the Charged for Change program open on November 4th, 2024 at 12:00 p.m. EST and close on February 20th, 2025 at 4:00 p.m. EST.

Community Information

Project Information

Proposed Project Sites (please complete the following for each site)

Site One*

Site Two

Site Three

Site Four

Site Five

Funding

Please send photos of site(s), a detailed project budget and quotes from contractors detailing project expenses to: chargedforchange@earthday.ca with subject line “[Community Name] Supporting Documents” by no later than February 20th, 2025.

By submitting this application, the applicant confirms that he/she has reviewed the Application Guide and agrees to the terms and conditions as outlined.

Make a claim or Call us or FAQ

Make a claim

Call us

FAQ

Applications to the Charged for Change program open on November 4^th, 2024 at 12:00 p.m. EST and close on February 20^th, 2025 at 4:00 p.m. EST.

Please send photos of site(s), a detailed project budget and quotes from contractors detailing project expenses to: chargedforchange@earthday.ca with subject line “[Community Name] Supporting Documents” by no later than February 20^th, 2025.