Student Information (Solar)

Yá'át'ééh!! We are looking forward to helping students continue to learn from home and access power!


The following information will be used to track upcoming solar installation projects. Once this information is received, our team will follow up. To be eligible at this time, there must be a student at the home. Timeline for installation depends on upcoming trip schedules.


All solar kits are FREE for the family!


If you have any questions, please reach out to ksorestad@heartofamerica.org


Ahéhee'/Thank You!

 

Who is submitting this form?

 
 
Phone
 
 
 

Please provide additional details if "other" is selected

 
 

Family Information

 
 

Please list each student and grade who live in the home (as able)

 
 
 
Phone
 
 
 
 

In order to install solar panels on the home and provide a battery, a team of people will need to access the home. They will be on site for 1-2 hours. Someone needs to be there while they are installing the system to answer questions and learn how to use the device. Is the family willing to be available during this time?

 

As part of the installation, we will provide books and school supplies for each family, as able. Which type of supplies would the family most like to receive (check all that apply):

 

Home Information

 
 
 

Please provide additional details if "other" is selected

 
 
 
 

Energy Checklist

 

Please select the current ways the family is powering their home/devices:

 

Please provide additional details if "other" is selected

 
 
 

Please provide additional details if "other" is selected

 
 
 

Please provide additional details if "other" is selected

 
 

Additional Information

Please share any other information you would like us to know about the family (special needs, access information, etc.)