Add Utility Form

Step 1 of 6 - Introduction

NXT Level - Add Utility Territory
Companies must complete this form to request listings in up to five (5) additional utility service territories. The company must currently hold the NXT Level designation in order to be eligible to use this form. NXT Level may contact two customer references and/or the utility to verify project history.
- Project(s) listed below must have been completed 1) by the designated NXT Level Company submitting this form and 2) within the last three (3) years.
- If you have questions, contact info@nxtleveltraining.com for assistance.
You must check two Customer Reference boxes, indicating the program has your permission to contact this customer as a reference.
If you are a subcontractor or supplier and didn’t interact directly with the utility incentive programs, please contact the general/lead on each project for this information.

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Designated Company Name:*
Applicant Email Address (Email for point of contact who will be handling application process on behalf of company)*
Please provide the following information describing at least three (3) energy efficient lighting retrofit projects your company has completed in the last 3 years which leveraged utility incentive programs. If you perform projects in more than three (3) territories, you'll need to submit at least one project completed in each to qualify for NXT Level listing in that service territory.
Project 1
NXT Level designated companies will be associated to the utilities/lighting programs where project references are provided. Please provide project references for all utility/lighting programs your company would like to be associated to.
Utility/Lighting Program:*
Click and begin typing to find the appropriate incentive program
Customer Name:*
Customer Contact Person:*
*
- I have permission from this customer to provide their name, contact information and project information on this application
- Okay to contact for customer reference?
Customer Contact Email Address:
Customer Contact Phone Number:*
Brief Project Description:*

(e.g., lamp and ballast replacement, lighting system redesign, etc.)
Project Location Address:*
Street Address City State ZIP Code
Start Date:
MM slash DD slash YYYY
Finish Date:
MM slash DD slash YYYY
What components of the project did your company perform? Check all that apply.
- Commercial lighting project sales & proposal development
- Commercial lighting system audits & assessments
- Design & Specification of lighting systems and/or lighting products
- Commercial lighting project submittals for utility/conservation programs
- Installation of lighting and/or lighting control systems
- Commissioning of lighting and/or lighting control systems; End user training

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Project 2
NXT Level designated companies will be associated to the utilities/lighting programs where project references are provided. Please provide project references for all utility/lighting programs your company would like to be associated to.
Utility/Lighting Program:
Click and begin typing to find the appropriate program
Customer Name:
Customer Contact Person:
- I have permission from this customer to provide their name, contact information and project information on this application
- Okay to contact for customer reference?
Customer Contact Email Address:
Customer Contact Phone Number:
Brief Project Description:

(e.g., lamp and ballast replacement, lighting system redesign, etc.)
Project Location Address:
Street Address City State ZIP Code
Start Date:
MM slash DD slash YYYY
Finish Date:
MM slash DD slash YYYY
What components of the project did your company perform?
Check all that apply.
- Commercial lighting project sales & proposal development
- Commercial lighting system audits & assessments
- Design & Specification of lighting systems and/or lighting products
- Commercial lighting project submittals for utility/conservation programs
- Installation of lighting and/or lighting control systems
- Commissioning of lighting and/or lighting control systems; End user training

Save and Continue Later

Project 3
NXT Level designated companies will be associated to the utilities/lighting programs where project references are provided. Please provide project references for all utility/lighting programs your company would like to be associated to.
Utility/Lighting Program:
Click and begin typing to find the appropriate program
Customer Name:
Customer Contact Person:
- I have permission from this customer to provide their name, contact information and project information on this application
- Okay to contact for customer reference?
Customer contact phone number:
Brief project description:

(e.g., lamp and ballast replacement, lighting system redesign, etc.)
Project Location address:
Street Address City State ZIP Code
Start date:
MM slash DD slash YYYY
Finish date:
MM slash DD slash YYYY
What components of the project did your company perform?
Check all that apply.
- Commercial lighting project sales & proposal development
- Conduct lighting system audits & assessments
- Design & Specification of lighting systems and/or lighting products
- Generate commercial lighting project submittals for utility/conservation programs
- Installation of lighting and/or lighting control systems
- Commission lighting and/or lighting control systems; End user training

Save and Continue Later

Fourth project reference is not required unless adding another utility territory. If not adding another utility territory, click “Next” at the bottom of the page.
Project 4
NXT Level designated companies will be associated to the utilities/lighting programs where project references are provided. Please provide project references for all utility/lighting programs your company would like to be associated to.
Utility/Lighting Program:
Customer Name:
Customer Contact Person:
- I have permission from this customer to provide their name, contact information and project information on this application
- Okay to contact for customer reference?
Customer contact email address:
Customer contact phone number:
Brief project description:

(e.g., lamp and ballast replacement, lighting system redesign, etc.)
Project Location address:
Street Address City State ZIP Code
Start date:
MM slash DD slash YYYY
Finish date:
MM slash DD slash YYYY
What components of the project did your company perform?
Check all that apply.
- Commercial lighting project sales & proposal development
- Conduct lighting system audits & assessments
- Design & Specification of lighting systems and/or lighting products
- Generate commercial lighting project submittals for utility/conservation programs
- Installation of lighting and/or lighting control systems
- Commission lighting and/or lighting control systems; End user training

Save and Continue Later

Fifth project reference is not required unless adding another utility territory. If not adding another utility territory, click “Submit” at the bottom of the page.
Project 5
NXT Level designated companies will be associated to the utilities/lighting programs where project references are provided. Please provide project references for all utility/lighting programs your company would like to be associated to.
Utility/Lighting Program:
Customer Name:
Customer Contact Person:
- I have permission from this customer to provide their name, contact information and project information on this application
- Okay to contact for customer reference?
Customer contact email address:
Customer contact phone number:
Brief project description:

(e.g., lamp and ballast replacement, lighting system redesign, etc.)
Project Location address:
Street Address City State ZIP Code
Start date:
MM slash DD slash YYYY
Finish date:
MM slash DD slash YYYY
What components of the project did your company perform?
Check all that apply.
- Commercial lighting project sales & proposal development
- Conduct lighting system audits & assessments
- Design & Specification of lighting systems and/or lighting products
- Generate commercial lighting project submittals for utility/conservation programs
- Installation of lighting and/or lighting control systems
- Commission lighting and/or lighting control systems; End user training
Comments
This field is for validation purposes and should be left unchanged.

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Add Utility Form

Step 1 of 6 - Introduction

Project 1

Project 2

Project 3

Project 4

Project 5