Ausgrid Smart Home Family Application Form

Ausgrid Smart Home family – Application Form

Instructions for completing and submitting the Application Form

1. Download your application at http://www.ausgrid.com.au/smarthomefamily

2. IMPORTANT: This Application must be received by Ausgrid via email (smarthomefamily@ausgrid.com.au)

Before TIME: 6.00 pm (Closing Time)

On DATE: 29 February 2012 (Closing Date)

3. You must submit your application having completed sections 1,2 & 3.

Ausgrid Smart Home Family

Name of Applicant: | |

Current Address: | |

Phone Number: | |

Email address: | |

Personal Reference 1: | |

Relationship with referee: | |

Phone number: | |

Email address | |

Personal Reference 2: | |

Relationship with referee: | |

Phone number: | |

Email address | |

Applications will be evaluated based on responses to the questions below and attached proposal.

1. Please describe and demonstrate how you meet the criteria below in the spaces provided, references and examples should be provided where appropriate.

Essential criteria

A. -------------------------------------------------

Household demographics. [Please list details of the age, gender and occupational status of the people who will be residents in the house, as well as any pets, including their species and breed]

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B. -------------------------------------------------

Independence from major lobby/special interest groups. [Please list any affiliations with political or special interest groups that may influence your performance of the tasks required of the Smart Home Family]...