Required Information from Potential Applicants
I. Organization Information
a. Organization Type
Corporation
Partnership
Sole Proprietor
Others:
b. Organization Name:
c. Address Line 1:
d. Address Line 2:
e. Postal/Zip Code:
f. City:
g. Province/State
h. Country
i. Title
j. Contact Name:
k. Phone Number
l. Fax Number
m. E-Mail:
Please identify any staff of ETV Canada, including staff of the Canadian Environmental Technology Advancement Centres (CETAC-West, OCETA and/or Enviro-Accès) with whom you have discussed the preparation of this application:
II. Mandatory Eligibility Criteria
In order for your environmental technology (i.e. product or equipment-based service) to be eligible to apply to the ETV program, it must meet the following criteria:
1. My technology is:
an environmental technology or process that offers an environmental benefit or addresses an environmental problem.
an equipment-based environmental service that can make claims based solely on the measurable performance of the equipment.
none of the above.
2. My claim is specific and unambiguous; meaningful and nontrivial; measurable and verifiable.
True
False
3. My technology is currently commercially available or commercially ready for full scale application.
A technology is considered commercially available when a full-scale unit is available, and sufficient information about the technology is available , or can be readily obtained to assess full-scale capabilities. If you answered "False" to Question 3, but have a pilot-scale unit or prototype unit ready for demonstration, you are encouraged to contact the ETV Program for advice regarding planning test programs to generate relevant data for subsequent claim verification.
III. General Description of the Technology
a. Check all which best describes your technology
Pollution prevention (waste avoidance, recover, clean technology)
Pollution control (waste management, add-on treatment, end-of-pipe treatment.
Site remediation (groundwater, soil)
Measurement, monitoring, or site characterization
Software (data acquisition, expert system, modeling, process control)
Conservation technology (energy, water, material, alternative fuel)
Habitat restoration (constructed wetlands)
Other:
b. Check all which best describes the media to which your technology applies:
Soil/solid wastes
Water/liquid wastes
Mixed wastes
Air
Multimedia
c. Check all which best describes the wastes, chemical constituents or lost resources to which your technology applies:
Metals
Acids
Alkalis
Volatile organic
Oils
Energy
Water
Natural resources
other:
General Note: ETV Canada verifications are valid for three years from the date of execution of the required License Agreement between the company and ETV Canada. Please refer to other sections of the ETV Canada web site for further details of renewal:
