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SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

GENERAL APPLICATION<br />

1. This informations will be analyzed to find the ranking of Schools in Kerala in terms<br />

of their efforts and achievements in <strong>Energy</strong> Efficiency and <strong>Energy</strong> Conservation<br />

Activities<br />

2. This application shall be electronically filed and forwarded to EMC followed by<br />

hard copy print out shall be to Director, <strong>Energy</strong> <strong>Management</strong> Center-Kerala, duly<br />

signed and stamped by the Principal and/or Head Master/Head Mistress should sign<br />

the filled questionnaire.<br />

3. You are encouraged to provide information with data support that distinguishes<br />

your institute with respect to <strong>Energy</strong> Conservation and <strong>Energy</strong> Efficiency<br />

Please send the completed questionnaire along with enclosures by …………….. 16 th , <strong>2010</strong><br />

to:<br />

1. GENERAL INFORMATION<br />

Name and Address of the Institute:<br />

Details of person filling the Questionnaire<br />

Name<br />

Designation<br />

Phone<br />

Fax<br />

Email<br />

Institute’s Website, if<br />

any<br />

Name of the /Principal/Head master/Head Mistress:<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Year of Establishment of the Institute<br />

State the type of your institution<br />

Type of Institution<br />

1. Govt.<br />

2. Private<br />

5. Others(Please Specify______________)<br />

Tick Here<br />

(√)<br />

1.04 Details about the classes:<br />

Sl.<br />

No.<br />

Name of the<br />

Course/Classes<br />

Teaching and<br />

Other<br />

Faculties/Staff<br />

Student<br />

Intake<br />

(No.)<br />

Residential<br />

YES<br />

NO<br />

Hostel<br />

Accommodation,<br />

Number of<br />

Students<br />

SECTION 2. INFRASTRUCTURE & OTHER FACILITIES<br />

Campus Area in Acres<br />

_________ Acre<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Accommodation Facilities Yes No<br />

Residential facilities available in the campus for students<br />

Separate Residential facilities for boys & girls<br />

Number of rooms in the boys hostel<br />

Total student capacity of boys hostel<br />

Number of rooms in the girls hostel<br />

Total student capacity of girls hostel<br />

Residential facilities available in the campus for faculty<br />

members<br />

Dining Facilities Yes No<br />

Do you have canteen facility in your academic area?<br />

Do you have canteen facility in your hostel?<br />

Total student capacity of canteen<br />

Recreational Facilities Yes No<br />

Cricket Ground<br />

Basket Ball Court<br />

Football Ground<br />

Indoor Games/TT<br />

Tennis Court<br />

Badminton Court<br />

Student Common Room<br />

Auditorium<br />

Any other (Please specify………………………………………….)<br />

Number of Buildings in the Campus<br />

Building Name/Number Area, Square Feet Electricity<br />

Electricity<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Consumer Number<br />

Consumption<br />

for the year<br />

2009-10<br />

No of Vehicles/Buses owned/operated<br />

Name/Type of Vehicle Fuel Consumption in Liters for the 2009-10<br />

Fuel Consumption for Canteen<br />

Type of Fuel Quantity in 2009-10<br />

Fire Wood<br />

LPG<br />

Others<br />

Water Supply<br />

If availed from Water Authority Total Consumption for year 2009-10 in Kilo Liters<br />

Number of Wells Pump Sets Capacity<br />

Type of Waste<br />

How do you dispose the wastage?<br />

Approximate Quantity, if possible Method of disposal<br />

Wastage like papers, books etc.<br />

Toilet waste water<br />

Canteen / food waste<br />

Type of Garden<br />

Do you have Garden?<br />

Area in Square Feet<br />

Flower Garden<br />

Vegetable Garden<br />

Others<br />

Internet Availability/Technological/IT Facilities Yes No<br />

Are the hostels LAN enabled?<br />

Are the seminar rooms LAN enabled?<br />

Total number of computers/laptops in the institute<br />

Number of PC Labs<br />

Does every classroom have projectors?<br />

Does every classroom have speakers and microphones to aid<br />

class participation?<br />

Does every classroom have PCs available?<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Does your School have an online library/ knowledge<br />

resource for students and faculty?<br />

Does your institute have an in-house journal or magazine?<br />

Number of books in library<br />

Is the Library E-enabled YES NO<br />

Do you keep archives of previous students’ case<br />

studies/dissertations/projects/surveys etc.?<br />

If yes, how many years’ case studies/dissertations are<br />

available?<br />

Number of Seminar Halls<br />

Total number of class rooms<br />

Maximum number of students per classroom<br />

YES<br />

NO<br />

SECTION 3. INDUSTRY /INSTITUTE INTERACTION WITH RESPECT TO ENERGY AND<br />

ENVIRONMENT<br />

Frequency of Industrial Visits*<br />

Total number of industrial visits conducted for the students in the year 2009-010<br />

Total budget allocated for industrial tours conducted in the year 2009-10<br />

Eminent Visitors interacted/addressed the students*<br />

Total number of such visitors to the institute in the year 2009-10<br />

Number of projects undertaken with industry/external institutions in year 2009-10<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

*Attach a list if needed<br />

Alumni Network & Access Yes No<br />

Do you have an alumni association?<br />

Is there any dedicated website/web link for the alumni<br />

association?<br />

Inter-<strong>school</strong> Fest Participation<br />

Number of inter<strong>school</strong> participations in 2009-10<br />

Yes<br />

SECTION 4. ACTIVITIES AND DETAILS WITH RESPECT TO ENERGY AND<br />

ENVIRONMENT IN THEYEAR 2009-10<br />

Any Vision Statement on <strong>Energy</strong> and Environment, if so state the same<br />

Any Mission Statement on <strong>Energy</strong> and Environment, if so state the same<br />

Schools Competitions<br />

Type of Competition Number of Participants<br />

Inter<strong>school</strong> Competitions<br />

Type of Competition Number of Participants Places Won<br />

Other regional/district/State/National Competitions<br />

Type of Competition Number of Participants Places Won<br />

Seminar/ Workshops(within the School and others)<br />

Topic Number of Participants Resource Persons<br />

Topic<br />

Surveys<br />

No. of Students<br />

Studies/Mapping<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Topic<br />

No. of Students<br />

Any other Field Works<br />

Topic/Subject No. of Students Benefits/Achievements<br />

Projects<br />

Topic/Subject No. of Students Benefits/Achievements<br />

<strong>Energy</strong> Audits<br />

Audited system/equipment/facility No. of Students<br />

Benefits/Achievements<br />

Theme<br />

Rally<br />

No. of Students<br />

Subject/Topic<br />

Data Base<br />

Prepared by team of how many students<br />

Lab Support/Facility<br />

List of Meters/Equipments/System<br />

Models-Static<br />

Description Team Who Made<br />

Models-Working<br />

Description Team Who Made<br />

Library Stock/subscription regarding <strong>Energy</strong> and Environment related Books/<br />

Literature<br />

Number of Books<br />

Number of Journals<br />

CDs<br />

Others<br />

Neighborhood interaction<br />

Type of Neighborhood Activity No. of Students<br />

Houses<br />

Local Offices<br />

Other Institutions, give details<br />

Name of the Plant<br />

Plant Visits<br />

Number of Students participated<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Camps<br />

Camp Location No. of Students Theme<br />

External Support/assistance from Companies/Organization<br />

Name of the Firm/Individual Activity Number of Students<br />

participated<br />

Study Tours and Field Trips<br />

Tour Conducted to Number of Students<br />

Innovative product development<br />

Product Number of Students/Faculties involved Present Status of the Prodcut<br />

Details of any Intern Program<br />

Number of Student Organization<br />

Details of any efficient gadgets such as CFL /LED etc. Distributed?<br />

Item Numbers Distributed to whome<br />

Details of any Waste to <strong>energy</strong> projects done<br />

Details of any Recycle of waste / waste water<br />

Interaction with experts/organizations in the fields of technology, policy,<br />

industry, and finance<br />

Activity Interacted with Participants Benefits/achievements<br />

Adopted any locality / village<br />

Activity locality / village Benefits/achievements<br />

Details of Award received<br />

Award provide by Activity Programme Participated Position won<br />

Details of any <strong>energy</strong> Savings achieved?<br />

Activity <strong>Energy</strong> Savings No. of Students<br />

achieved give quantity<br />

in terms of electricity or Fuel<br />

Any renewable <strong>energy</strong> project sdone in your campus, like wind, solar, bio-mass?<br />

Renewable <strong>Energy</strong> Project Description No. of Students<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA


SCHOOL ENERGY CONSERVATION CHAMPION <strong>2010</strong><br />

Awareness literatures launched<br />

Details of posters, pamphlets Numbers Distributed to whome?<br />

Any other green house gas mitigation projects/programmes done such as<br />

afforesta ion?<br />

Programme Description No. of Students Achievement/Benefits<br />

THANKS FOR YOUR TIME AND EFFORT.<br />

An <strong>Energy</strong> <strong>conservation</strong> sensitization initiative of:<br />

ENERGY MANAGEMENT CENTRE – KERALA<br />

(An autonomous Centre under Dept. of Power, Government of Kerala<br />

GENERAL EDUCATION DEPARTMENT, GOVERNMENT OF KERALA

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