NH School Data Entry Form
General Info
School District:
Name of Building:
Address:
City:		Zip Code:	-
Contact First Name:
Contact Last Name:		Title:
Address:
City:		Zip Code:	-
Phone:		E-mail:
Fax:		Mobile:
Building Info
Year Built:		No. of Students:
Size of Building (sq. ft.):		No. of Floors:
No. hours of occupancy per Week:		No months operated per year:
Is the building operated on the weekends?	YesNo
School Type:	High SchoolMiddle/Junior HighElementaryOther
How is building heated?		Number of PC's:
How is building cooled?		Percent of Building Cooled:
No. of walk-in cooler/freezer units:
Does the building have cooking facilities?	YesNo
Does the Buidling have a Pool?	YesNo
Utility Info
Electric Utility		Electric Utility Account #
Natural Gas Utility		Natural Gas Utility Account #
Renewable On-Site:	On-Site SolarOn-Site WindN/A
Fuel Oil/Propane Combination
Are there any critcal dates that this report needs to be completed by?		YesNo