Pre Screening Form

General Description of the Technology

Technology Name

Briefly describe your environmental technology. You are encouraged to include technical literature and/or promotional material describing the technology:*

Performance Claim

Briefly describe the technology performance claim(s) that you want verified. Note that the claim(s) you provide here are considered draft and may be altered after discussion with GLOBE Performance Solutions and/or a verification expert.*

Please refer to the specifications in Appendix I “Guidelines for Performance Claims”.

Technology/Data

The Technology*

is now commercially available.
is expected to be available by : (date will be entered below)

Date*

The applicant has test data (before & after technology installation/operation) which supports the performance claim.*

Yes
No

If yes, please indicate which organization conducted the test:*

When was the testing conducted?*

The applicant wishes to discuss an appropriate test program*

Yes
No

Ownership of Technology (select one):*

Our company possesses full ownership of the technology
Our company is a licensed distributor of the technology

Conflict of Interest

In order to ensure that verification activities are completely impartial, any actual or perceived conflict of interest with GLOBE Performance Solutions, including its employees and agents, must be identified and resolved prior to review of a Formal Application. Please identify any actual or perceived conflict of interest.

Supporting Documentation

Please click here to attach your supporting documents.

Accepted file types: pdf, docx, jpg, gif, png, xlsx, pptx, Max. file size: 20 MB.

Phone

This field is for validation purposes and should be left unchanged.

Language:

ETV Canada

Pre Screening Application

Company Information

General Description of the Technology

Performance Claim

Technology/Data

Conflict of Interest

Supporting Documentation