OMB
Control
No.
XXXX­
XXXX
EPA­
XXX­
X­
XX­
XXX
Approval
Expires
XX/
XX/
XX
2006
ENERGY
STAR
®
Award
Application:
Partner
of
the
Year
 
New
Homes
General
Instructions
Each
year,
the
US
Environmental
Protection
Agency
(
EPA)
and
the
US
Department
of
Energy
(
DOE)
honor
organizations
that
have
made
outstanding
contributions
to
protecting
the
environment
through
superior
energy
efficiency.
All
organizations
participating
in
ENERGY
STAR
are
encouraged
to
apply
for
a
2006
ENERGY
STAR
Award.
Organizations
may
apply
for
more
than
one
award
if
they
meet
the
eligibility
requirements.
In
such
cases,
a
complete
award
application
package
must
be
submitted
for
each
award.

To
be
considered,
an
organization
must
meet
the
specific
eligibility
requirements
in
the
award
application
and
submit
a
complete
application
package
by
December
15,
2005.
Winners
will
be
recognized
at
the
ENERGY
STAR
Awards
Ceremony
on
March
21,
2006
in
Washington,
DC.
Note:
Verification
organizations
will
be
recognized
at
the
2006
Residential
Energy
Services
Network
(
RESNET)
national
conference.

Eligibility:
Partner
of
the
Year
 
New
Homes1
ENERGY
STAR
builders
and
verification
organization
partners
(
i.
e.,
home
energy
rating
providers
and
raters)
in
markets
with
at
least
10
percent
market
penetration
for
ENERGY
STAR
qualified
homes.

ENERGY
STAR
Partners
in
markets
with
less
than
10
percent
penetration
may
also
apply.
To
be
competitive
for
selection,
applicants
must
demonstrate
how
they
have
established
a
foundation
for
increasing
consumer
awareness
and
future
growth
of
ENERGY
STAR
qualified
homes
in
their
market.

Application
Instructions
 
Review
eligibility
for
the
award
to
which
you
are
applying
and
respond
to
all
award
criteria
specified
in
the
application
that
you
are
completing.
Do
not
exceed
the
page
limitation
specified
in
the
award
application,
as
additional
pages
will
not
be
considered.
(
Samples
and
collateral
materials
are
not
included
in
the
page
limit.)

 
Summary
of
Accomplishments:
Please
provide
a
brief
overview
(
no
more
than
300
words)
of
your
organization
and
the
accomplishments
upon
which
you
are
applying
for
this
ENERGY
STAR
award.
In
the
event
that
you
are
chosen
to
receive
an
award,
this
text
will
be
the
basis
EPA
and
DOE
will
use
in
preparing
a
summary
of
your
organization's
achievements.

1
Utilities
and
other
sponsoring
programs
that
partner
with
ENERGY
STAR
for
New
Homes
should
apply
for
the
"
Excellence
in
Energy
Efficiency
Program
Delivery"
award
under
the
General/
Program
Sponsor
category.
 
Organization
Logo:
Please
provide
electronic
copies
of
both
color
and
a
black­
and­
white
versions
of
your
logo
in
EPS
format
that
will
allow
for
a
printable
resolution
of
300
dpi
at
a
size
of
four
(
4)
inches.
In
the
event
that
your
organization
is
chosen
for
an
award,
this
logo
will
be
used
in
the
Awards
Ceremony
materials.

 
Whenever
possible,
quantify
your
activities
and
the
results
(
e.
g.,
number
of
pieces
produced,
number
of
people
reached)
and
enclose
documentation
that
supports
claims
made
(
e.
g.,
photos
of
prominent
use
of
the
ENERGY
STAR
mark,
copies
of
advertisements
that
incorporate
the
ENERGY
STAR
mark,
copies
of
training
materials
used,
etc.).

 
Provide
specific
information
about
your
efforts
and
materials
developed
in
2005.
While
planned
activities
for
2006
or
beyond
are
of
interest
to
EPA
and
DOE,
they
should
not
be
the
focus
of
the
award
application.

Application
Submissions
 
For
each
award
for
which
you
are
applying,
provide:
 
one
complete
hard
copy
of
your
entire
application
package,
including
the
application
form
(
Part
I),
responses
to
award
criteria
(
Part
II),
summary
of
accomplishments,
samples,
collateral,
and
supplemental
materials,
AND
 
one
electronic
copy
(
in
Word
or
WordPerfect)
of
your
completed
application
(
Parts
I
and
II
only)
via
e­
mail
to
the
ENERGY
STAR
Awards
Coordinator,
Debra
Shepherd,
at:
shepherd.
debra@
epa.
gov.
Please
do
not
forward
supplemental
materials
via
e­
mail.

 
All
hard
copy
and
electronic
applications
must
be
date
marked/
postmarked
no
later
than
December
15,
2005.
EPA
and
DOE
will
not
accept
any
applications
or
materials
date
marked/
postmarked
after
this
date.
Due
to
the
volume
of
material
that
will
be
received,
EPA
and
DOE
will
not
be
able
to
return
any
materials
or
promotional
pieces.

 
Send
completed
applications
to
the
appropriate
address
below.
It
is
highly
recommended
that
overnight
or
two
day
delivery
be
used
to
avoid
potential
delays
and
damage
due
to
enhanced
security
screening
of
standard
mail
to
government
facilities.
Do
NOT
fax
application
packages
or
sample
materials,
as
they
will
not
be
accepted.

Via
US
Postal
Service:
Via
Overnight
Delivery
Service:
Debra
Shepherd
Debra
Shepherd
US
Environmental
Protection
Agency
US
Environmental
Protection
Agency
Ariel
Rios
Building
1310
L
Street,
NW
1200
Pennsylvania
Avenue,
NW
9th
Floor
Mail
Code
6202J
Washington,
DC
20005­
4113
Washington,
DC
20460
Phone:
(
202)
343­
9184
 
Confirmation
of
Receipt:
Upon
delivery
of
each
application,
EPA
will
confirm
receipt
to
the
e­
mail
address
from
which
the
application
was
sent.
If
you
do
not
receive
confirmation
within
two
weeks
of
sending
your
application,
please
contact
the
ENERGY
STAR
Awards
Coordinator,
Debra
Shepherd,
at
(
202)
343­
9184
or
shepherd.
debra@
epa.
gov.

Notification:
You
will
be
notified
by
January
31,
2006
on
the
status
of
your
application.
Part
I:
General
Information
A.
Contact
Information:
Please
provide
the
following
required
information.

________________________________________________________________________________________
Official
Name
of
Organization
or
Company
(
Exactly
as
it
should
appear
on
an
award)

________________________________________________________________________________________
Street
Address
(
Include
suite/
room
number/
mail
code)

________________________________________________________________________________________
City
State
Zip
Code
+
4
________________________________________________________________________________________
Web
Site
Address
________________________________________________________________________________________
Primary
Contact
Name
Title
E­
Mail
Address
_____________________________________
__________________________________________
Phone
(
including
area
code
and
extension)
Fax
________________________________________________________________________________________
Communications
Contact
(
including
an
authorized
advertising/
PR
firm)
Phone
________________________________________________________________________________________
Communications
Contact
E­
Mail
Address
Fax
B.
Headquarters
Address:
Please
provide
if
different
than
above.

________________________________________________________________________________________
Official
Name
of
Organization
or
Company
________________________________________________________________________________________
Street
Address
(
Include
suite/
room
number/
mail
code)

________________________________________________________________________________________
City
State
Zip
Code
+
4
C.
Certification
Statement:

"
I
certify
that
the
information
provided
in
this
application
is
true
and
accurate
to
the
best
of
my
knowledge.
I
understand
that
excerpts
from
this
application
may
be
used
by
EPA
and
DOE
for
public
outreach
related
to
the
ENERGY
STAR
program
and
2006
ENERGY
STAR
Awards."

__________________________________
______________________________
_____________
Name
Printed/
Signed
Title
Date
Part
II:
Partner
of
the
Year
 
New
Homes
Application
Description:
This
award
provides
special
recognition
to
ENERGY
STAR
partners
who
have
helped
establish
a
significant
presence
for
ENERGY
STAR
qualified
homes
in
one
or
more
markets.

Please
complete
this
application
by
answering
each
question
listed
below
(
bulleted
answers
are
strongly
preferred).
Your
total
submitted
application
should
not
exceed
two
pages
(
excluding
the
General
Information
section
and
the
Summary
of
Accomplishments).

A.
Please
indicate
your
Partner
Type:

 
___
Builder
(
please
specify
type):
___
Custom/
small
site
builder
___
Production
site
builder
___
Manufactured
home
plant
___
Manufactured
home
retailer
 
___
Verification
Organization
(
please
specify
type):
___
HERS
or
BOP
Provider
___
HERS
Rater
or
BOP
Inspector
B.
What
is
the
penetration
of
ENERGY
STAR
qualified
homes
in
your
market?


10%
or
more

Less
than
10%

C.
How
many
ENERGY
STAR
qualified
homes
did
your
organization
build
or
verify
in
2005?
______


Additional
Questions
for
Builders:

1.
What
percentage
of
homes
built
by
your
organization
earned
the
ENERGY
STAR
in
2005?
_______

2.
For
multi­
market
production
builders,
what
percentage
of
your
organization's
Divisions/
Regional
Offices
built
ENERGY
STAR
qualified
homes
in
2005?
_______


Additional
Question
for
Verification
Organizations:

What
percentage
of
ENERGY
STAR
qualified
homes
in
your
market(
s)
did
your
organization
verify
in
2005?
_______
Award
Evaluation
Criteria
Section
1.
Market
Transformation
How
has
your
organization
directly
contributed
to
the
growth
of
ENERGY
STAR
in
your
market(
s)?

Examples
of
items
to
address
include:
Increased
number
of
homes
qualified
as
ENERGY
STAR
this
year,
education
and
recruitment
of
new
partners,
efforts
to
build
consumer
awareness,
participation
in
ENERGY
STAR
outreach
efforts,
working
with
other
ENERGY
STAR
partners
and
local
associations,
support
for
special
events.

Section
2.
Marketing
and
Sales
How
has
your
organization
effectively
utilized
the
ENERGY
STAR
mark
and
messaging
for
marketing
and
sales?

Please
attach
electronic
`.
jpg'
or
`.
gif'
images
to
support
your
answer.

Examples
of
items
to
address
include:
Integrating
and
featuring
ENERGY
STAR
in
pointof
sale,
advertising,
marketing,
and
web
site;
training
to
sales
staff
to
effectively
market
ENERGY
STAR;
showcasing
ENERGY
STAR
in
events
or
promotions.

Section
3.
Measured
Impact
of
ENERGY
STAR
How
has
your
organization
measured
the
business
impacts
of
your
partnership
with
ENERGY
STAR?

Examples
of
items
to
address
include:
Customer
recognition
of
ENERGY
STAR,
actual
home
performance
(
e.
g.,
energy
savings,
comfort,
or
indoor
air
quality),
effectiveness
of
ENERGY
STAR
marketing
and
advertising
efforts,
additional
ENERGY
STAR
coverage
in
local
press
and
media.


Additional
examples
for
Builders:
Increased
home
sales
or
profit
margins;
increased
prospective
buyer
traffic,
reduced
consumer
complaints
and
callbacks,
enhanced
consumer
satisfaction,
ease
of
code
approval.


Additional
examples
for
Verification
Organizations:
Business
and
revenue
growth,
additional
builder
service
opportunities.

Section
4
 
Other
Efforts
Across
ENERGY
STAR
(
OPTIONAL)

How
has
your
organization
incorporated
the
ENERGY
STAR
brand
beyond
building
and
qualifying
ENERGY
STAR
qualified
homes?

Examples
to
address
include:
Offering
the
ENERGY
STAR
Advanced
Lighting
Package
or
ENERGY
STAR
qualified
lighting
fixtures
or
bulbs,
HVAC
equipment,
windows,
and/
or
appliances
(
such
as
refrigerators,
dishwashers,
and
clothes
washers);
Participating
in
the
ENERGY
STAR
Indoor
Air
Package
Pilot
Program.

The
government
estimates
the
average
time
needed
to
review
and
fill
out
this
form
and
prepare
supplemental
materials
is
10.5
hours
and
welcomes
suggestions
for
reducing
this
level
of
effort.
Send
comments
(
referencing
OMB
Control
Number)
to
the
Director,
Collection
Strategies
Division,
U.
S.
EPA
(
2822T),
1200
Pennsylvania
Ave.,
NW,
Washington,
D.
C.
20460.
