Program Questions:
Upstate Revitalization Initiative

Q_4269

Are you submitting an "Intent to Propose" application seeking funding through the Upstate Revitalization Initiative?

Q_565

Project City

Q_972

Project county or counties.

Q_1034

Project ZIP Code. (please use ZIP+4 if known)

Q_928

Project Street Address: Please input the project street address (Street Number and Street Name only).

If the project has multiple locations, please input the primary street address of the project. If the project does not have a definite street address, please input the approximate street address of the project (Street Number and Street Name only).

Q_971

Project Without a Street Address: please enter a description of the project location. Include project starting/ending street addresses, cities & zip codes if applicable.

Q_568

Project State
  • AA,AL,AK,AZ,AR,CA,CO,CT,DE,FL,GA,HI,ID,IL,IN,IA,KS,KY,LA,ME,MD,MA,MI,MN,MS,MO,MT,NE,NV,NH,NJ,NM,NY,NC,ND,OH,OK,OR,PA,RI,SC,SD,TN,TX,UT,VT,VA,WA,WV,WI,WY,AS,DC,FM,GU,MH,MP,PW,PR,VI

Q_572

Project Latitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_573

Project Longitude (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_3527

US Congressional District where the project is located.
  • 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27

Q_184

NYS Assembly District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_190

NY Senate District where the project is located. (This questions value will be filled automatically, based on the project address, when the application is finalized.)

Q_550

If you are a DBA, what is your DBA name?

Q_556

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.
  • Charity Reg #, Duns Number, Federal Tax ID Number, NYS Unemployment Insurance Tax Number, Social Security Number, NYS Vendor Identification Number (SFS)

Q_2655

Based on your selection from the previous question, enter your applicant ID number. (Please do not provide your social security number).

Q_969

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?
  • Yes, No, N/A

Q_551

Applicant Street Address

Q_552

Applicant City

Q_553

Applicant State

Q_554

Applicant ZIP Code. (please use ZIP+4 if known)

Q_651

Applicant Telephone Number, (please include area code)

Q_555

Applicant Email Address

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

Contact ZIP Code

Q_562

Primary Contact Phone Number. (please include area code)

Q_3692

Contact Email

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_3693

Additional Contact Street Address

Q_3694

Additional Contact City

Q_3695

Additional Contact State

Q_3696

Additional Contact ZIP Code

Q_3697

Additional Contact Telephone Number

Q_561

Additional Contact Email Address

Q_976

Statement of Need

Q_930

Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.

Q_2366

How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at https://regionalcouncils.ny.gov/ )

Q_929

Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)

Q_975

Estimated Project Timeline: including project start/completion dates, estimates for design, permitting and construction or other major steps. (You may enter N/A for non-Project related applications)

Q_580

Provide a list of all federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, indicate "NA".

Q_2364

What is the status of State and/or Federal Environmental Review? If review of the project is underway or completed pursuant to the State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please indicate the lead agency (if applicable).

Q_1054

If National Environmental Policy Act (NEPA) Record of Decision has been issued, please explain (include date of Record of Decision).

Q_2362

If funding was awarded in prior CFA rounds, what were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)

Q_4160

For each program to which you are applying under the CFA, explain your strategy for proceeding if the full amount of requested funding, required matching funds, and temporary financing are not secured as expected, or committed sources become unavailable.This explanation must address any proposed project phases, and both CFA and non-CFA sources of funds.

Q_549

Type of Applicant (select all that apply)
  • Federal, State, County, City, Town, Village, Tribal, School District, County or Town Improvement District, District Corporation, For-Profit, Not-For-Profit, Individual, S Corporation, C Corporation, IDA, LDC,LLC,LLP, Public Authority, Public Benefit Corp, Sole-Proprietorship. HDFC,BID, LP,Boards Of Cooperative Educational Services (BOCES), Fire District, Regional Planning and Development Board, Public Library, Association Library,College/University/Community College

Q_546

Legal Name of Applicant

Q_5475

Contract Salutation
  • Mr., Mrs., Ms., Dr.

Q_5476

Contract First

Q_5477

Contract Last

Q_5478

Contract Title

Q_5491

Authorized Organization

Q_5479

Contract Street

Q_5480

Contract City

Q_5481

Contract State

Q_5482

Contract Zip

Q_5483

Contract Phone

Q_5484

Contract Email

Q_4199

Please select the primary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_4198

Please select the secondary sector or characterization that best defines this project.
  • Agriculture, Arts/Culture/Cultural Institutions, Biomedical/Medical, Community Development, Education/College/University, Energy, Environment, Financial Services, Food/Beverage, Healthcare, Hospitality, Housing, Industrial/Manufacturing, Information Technology Services/Communications, Infrastructure, Municipal/Government, Office, Research & Development, Tourism/Travel, Transportation, Water/Wastewater/Sewer, Waterfront Revitalization, Workforce Development,Business Development,Technology Commercialization

Q_575

Project Description. Concisely describe the project, indicating the location, what will be planned, designed, acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Additional details will be collected later in the application process.

Q_4317

Please provide any documentation or letters of support for the project.

Q_3119

Attach all letters of support or other information for the project.

Q_6946

Please provide Letters of Support for your project (if applicable). All letters should be scanned into a single PDF file and their total size cannot exceed 10 Megabytes (MB).

Q_5593

Attach 2015 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2015. For-publicly traded companies, please provide Form 10-K for 2015.

Q_6907

Attach 2016 financial documents.

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2016. For publicly traded companies please provide Form 10-K for 2016.

Q_6906

Attach 2017 financial documents

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide audited or reviewed financials, or compiled financials with signed tax returns, for 2017. For-publicly traded companies, please provide Form 10-K for 2017.

Q_6905

Attach interim financials for 2018

For privately owned companies, IDAs, not-for-profits, educational institutions, start-ups, municipalities, or any business or organization other than publicly traded companies, please provide interim financials for 2018, certified by a company officer. For publicly traded companies, please provide the most recent Form 10-Q.

Q_2165

For Start-up companies, in addition to the documents listed above provide: 1) Financial projections (5 years) 2) Personal financial statements from a personal guarantor(s) of the start-up company 3) Principal resumes

Q_2331

Attach an organizational chart and/or description of ownership structure including the percentage of ownership for each individual entity.

Q_5689

Attach a short or long Environmental Assessment Form

Project review pursuant to the State Environmental Quality Review Act (SEQRA) must be completed prior to the award of any state funds. For projects classified as Type I or Unlisted actions, submit a short or long Environmental Assessment Form. See "Scoring Tips" for links to forms.

Q_2333

If review of the project has been completed pursuant to State Environmental Quality Review Act (SEQRA) or National Environmental Policy Act (NEPA), please submit the Negative Declaration or Findings Statement, or Finding of No Significant Impact or Record of Decision.

Q_2334

Provide a list of all other federal, state, and local reviews, approvals, or permits needed or completed, including the dates when they are expected to be completed or were completed. If Not Applicable, please upload an attachment that indicates "NA".

Q_6061

In the first phase of the Application, you were asked to describe your overall project including the location, what will be planned, designed acquired, and/or constructed, the issues/opportunities to be addressed, and expected outcomes and deliverables. Please indicate if any of these items have changed since your original submission.

Q_4283

Please identify which key URI concepts/indicators the project will advance and describe the efforts in which those concepts will be addressed. See help for additional information.

Q_4276

Please describe the readiness of the project and identify when state funding would need to be made available.

Q_3175

Should the full amount of the Applicant's ESD funding request not be awarded, at what minimum level of ESD funding does the project become unfeasible?

Q_5590

Please provide a concise narrative describing the applicant’s history and current operations. Include information about company/organization size, products, services, market share, position within the industry, competitors and the year in which the company was formed, etc.

Q_4277

Please identify the project partners including the project leader and others involved in the implementation of the project. See the help section for format.

Q_4271

Please enter the amount of funding you are requesting through the URI.

Q_2336

Briefly describe the activity that the project involves in terms of product(s) or services(s) that will be provided at the project location.

Q_4272

Please enter the amount of private funding that will be provided for this project.

Q_1142

Indicate the Primary North American Industrial Classification System (NAICS) Code associated with the activity of the business at the project location.

Q_4273

Please enter the amount of additional funding that will be provided to this project.

Q_2219

Describe how the capital investment for which you are seeking funding will make it possible to reach your business or organizational goals, such as changes to profitability, productivity, market share, product offerings, or other results relevant to your goals.

Q_3134

Is a third party being used to complete this application such as consultant, accountant or attorney?

Q_4274

Please enter the total project cost from all sources.

Q_4278

Please enter the number of net new permanent private sector jobs that will be created.

Q_3136

If you are a third party completing this application you must disclose your name, company and contact information.

Q_4279

Please enter the number of retained jobs associated with the project.

Q_1233

What tasks and steps need to be completed before the project can begin (e.g. obtaining permits, licenses, hiring staff, etc.)

Q_1409

What is the first project year? (e.g. the year equipment will be ordered or when first expenditures are expected to be made)

Q_4280

Please enter the number of construction jobs associated with the project.

Q_4281

Please enter the number of ancillary or other jobs associated with the project.

Q_3133

Is the proposed project located in a highly distressed area? If so, please provide information that will help ESD confirm that the area is highly distressed.

Q_4313

Have you ever formally presented this project or components of this project to the Regional Economic Development Council where the project is located?

Q_4318

Provide any other information in support of the project or pertinent to the request.

Q_6064

Qualified Investments Building Acquisition Year 1

Q_6065

Qualified Investments Building Acquisition Year 2

Q_6066

Qualified Investments Building Acquisition Year 3

Q_6067

Qualified Investments Building Acquisition Year 4

Q_6068

Qualified Investments Building Acquisition Year 5

Q_3007

Qualified Investments Year 1

Q_3008

Qualified Investments Year 1

Q_3009

Qualified Investments Year 1

Q_3010

Qualified Investments Year 1

Q_6056

Qualified Investments Year 1

Q_3014

Qualified Investments Year 1

Q_3015

Qualified Investments Year 1

Q_3018

Qualified Investments Building Renovation Year 2

Q_3019

Qualified Investments New Construction Year 2

Q_3020

Qualified Investments Production Machinery Year 2

Q_3022

Qualified Investments Furniture, fixtures Year 2

Q_6057

Qualified Investments Land Acquisition* Year 2

Q_3027

Qualified Investments Demolition Year 2

Q_3028

Qualified Investments Year 2

Q_3031

Qualified Investments Building Renovation Year 3

Q_3032

Qualified Investments New Construction Year 3

Q_3033

Qualified Investments Production Machinery Year 3

Q_3034

Qualified Investments Furniture, fixtures Year 3

Q_6058

Qualified Investments Land Acquisition* Year 3

Q_3039

Qualified Investments Demolition Year 3

Q_3040

Qualified Investments Year 3

Q_3043

Qualified Investments Building Renovation Year 4

Q_3044

Qualified Investments New Construction Year 4

Q_3045

Qualified Investments Production Machinery Year 4

Q_3046

Qualified Investments Furniture, fixtures Year 4

Q_6059

Qualified Investments Land Acquisition* Year 4

Q_3050

Qualified Investments Demolition Year 4

Q_3051

Qualified Investments Year 4

Q_3054

Qualified Investments Building Renovation Year 5

Q_3055

Qualified Investments New Construction Year 5

Q_3056

Qualified Investments Production Machinery Year 5

Q_3057

Qualified Investments Furniture, fixtures Year 5

Q_6060

Qualified Investments Land Acquisition* Year 5

Q_3061

Qualified Investments Demolition Year 5

Q_3062

Qualified Investments Year 5

Q_6062

Indicate how many existing full-time equivalent jobs the applicant employs in all NYS LOCATIONS.

Q_2199

Indicate the average annual wage for existing full-time equivalent employees the applicant employs in all NYS Locations as of the date this application is finalized.

Q_1365

Indicate how many of the total existing full-time equivalent employees in New York State are contract employees.

Q_2196

Indicate how many existing full-time equivalent jobs the applicant employs at all PROJECT LOCATION(S).

Q_1186

Indicate the average annual wage for the employees at the Project Location as of the date this application is finalized.

Q_1366

Indicate how many of the total existing full-time equivalent employees at the Project Location are contract employees.

Q_1196

How many of the existing jobs at the project location(s) are at risk if the project does not go forward.

Q_2175

What percentage of the project's employees are/will be residents of New York State?

Q_2178

Will any other non-construction jobs result from the project? For example, this could include jobs created by tenants at an incubator or mixed-use development or as a result of the creation of a job training center. If so, please estimate how many jobs, explain how these jobs will be created, and explain the method used to determine the job number estimate.

Q_2372

Will the proposed project result in the creation of construction jobs? If so, estimate the number of construction jobs to be created.

Enter zero if not applicable.

Q_4167

Definition of full-time equivalent employee: (1) a full-time, permanent, private-sector employee on the Recipient's payroll, who has worked at the Project Location for a minimum of 35 hours per week for not less than four consecutive weeks and who is entitled to receive the usual and customary fringe benefits extended by Recipient to other employees with comparable rank and duties; or (ii) two part-time, permanent, private-sector employees on Recipient's payroll, who have worked at the Project Location for a combined minimum of 35 hours per week for not less than four consecutive weeks and who are entitled to receive the usual and customary fringe benefits extended by Recipient to other employees with comparable rank and duties.

For the Excelsior Jobs Program: a full-time permanent employee must be on the payroll for at least six months of a year in order to qualify for benefits. Jobs transferred from employment with another business located in the State including from a related person in this State are not net new jobs for purposes of the employment commitment.

Indicate the year employment begins under Year 1 for your project here:

Q_7506

Indicate how many new full-time equivalent employees (using the definition in the question above) the company will create over 5 years.

If awarded, your company or entity will be held to the job creation commitments as outlined in this question and table below. For grants, should you fail to meet the job creation commitments, recapture provisions may apply. For Excelsior, each years job commitment is evaluated separately to determine if tax credits can be issued.

Q_3064

Net New Job Information (Enter Cumulatively) 1. Enter the type of job by general category.
2. Enter the gross annual wages for each job type.
3. List the number of net new jobs. Please enter CUMULATIVE job totals, i.e. if there are 10 jobs being created each year for 5 years, enter as 10, 20, 30, 40, 50.

Please note that if you are completing the URI Phase 1 - Intent to Propose, you are not required to complete the table below at this time as this information will be available to enter in during phase 2 of the application.

Q_3065

Net New Job Information

Q_3066

Net New Job Information

Q_3067

Net New Job Information

Q_3068

Net New Job Information

Q_3069

Net New Job Information

Q_3070

Net New Job Information

Q_3071

Net New Job Information Job Type/Category

Q_3072

Net New Job Information 2 Avg Gross Wages/Job Type

Q_3073

Net New Job Information 2 Year 1 -

Q_3074

Net New Job Information 2 Year 2 -

Q_3075

Net New Job Information 2 Year 3 -

Q_3076

Net New Job Information 2 Year 4 -

Q_3077

Net New Job Information 2 Year 5 -

Q_3078

Net New Job Information (Enter Cumulatively) Job Type/Category

Q_3079

Net New Job Information (Enter Cumulatively) 3 Avg Gross Wages/Job Type

Q_3080

Net New Job Information (Enter Cumulatively) 3 Year 1 -

Q_3081

Net New Job Information (Enter Cumulatively) 3 Year 2 -

Q_3082

Net New Job Information (Enter Cumulatively) 3 Year 3 -

Q_3083

Net New Job Information (Enter Cumulatively) 3 Year 4 -

Q_3084

Net New Job Information (Enter Cumulatively) 3 Year 5 -

Q_3086

Net New Job Information (Enter Cumulatively) Job Type/Category

Q_3089

Net New Job Information (Enter Cumulatively) 4 Avg Gross Wages/Job Type

Q_3090

Net New Job Information (Enter Cumulatively) 4 Year 1 -

Q_3091

Net New Job Information (Enter Cumulatively) 4 Year 2 -

Q_3092

Net New Job Information (Enter Cumulatively) 4 Year 3 -

Q_3093

Net New Job Information (Enter Cumulatively) 4 Year 4 -

Q_3094

Net New Job Information (Enter Cumulatively) 4 Year 5 -

Q_3095

Net New Job Information (Enter Cumulatively) Job Type/Category

Q_3096

Net New Job Information (Enter Cumulatively) 5 Avg Gross Wages/Job Type

Q_3097

Net New Job Information (Enter Cumulatively) 5 Year 1 -

Q_3098

Net New Job Information (Enter Cumulatively) 5 Year 2 -

Q_3099

Net New Job Information (Enter Cumulatively) 5 Year 3 -

Q_3100

Net New Job Information (Enter Cumulatively) 5 Year 4 -

Q_3101

Net New Job Information (Enter Cumulatively) 5 Year 5 -

Q_5719

Does the project site involve or is it substantially contiguous to a property listed or recommended for listing in the NY State or National Registers of Historic Places? Consult the National Register Information System at http://www.nps.gov/history/nr/research/ to find out if a property is listed. The State Preservation Historical Information Network Exchange (SPHINX) tool at http://nysparks.com/shpo/online-tools/ can also be used to find out if a property is listed on the State Register. Indicate Yes, No, N/A. Click "Scoring Tips" for more information.
  • Yes, No, N/A
    1. If Yes is selected then Q_5721 will be displayed

Q_5721

If Yes, please identify the name of the resource.

Q_5720

Is the project site wholly or partially included within an identified archeologically sensitive area? The Geographic Information System for Archeology and National Register tool can be used to identify archeologically sensitive areas. Indicate Yes, No, N/A. Click "Scoring Tips" for more information.
  • Yes, No, N/A
    1. If Yes is selected then Q_5722 will be displayed

Q_5722

If Yes, please list the geographic information for the archeologically sensitive areas.

Q_1059

Does the proposed project use, maintain, or improve existing infrastructure? Y/N/Not Relevant. Please explain all responses.

Q_1060

Is the proposed project located in a municipal center? Y/N/Not Relevant. Please explain all responses.

Q_1061

Is the proposed project located in a developed area or an area designated for concentrated infill development in a municipally approved comprehensive land use plan, local waterfront revitalization plan and/or brownfield opportunity area plan? Y/N/Not Relevant. Please explain all responses.

Q_1062

Will the proposed project protect, preserve and enhance the State’s resources, including agricultural land, forests, surface and groundwater, air quality, recreation and open space, scenic areas, and significant historic and archeological resources? Y/N/Not Relevant. Please explain all responses.

Q_1063

Will the proposed project foster mixed land uses and compact development, downtown revitalization, Brownfield redevelopment, the enhancement of beauty in public spaces, the diversity and affordability of housing in proximity to places of employment, recreation and commercial development and the integration of all income and age groups? Y/N/Not Relevant. Please explain all responses.

Q_1064

Will the proposed project provide mobility through transportation choices including improved public transportation and reduced automobile dependency?Y/N/Not Relevant. Please explain all responses.

Q_1065

Will the proposed project involve coordination between state and local government and inter-municipal and regional planning? Y/N/Not Relevant. Please explain all responses.

Q_1066

Will the proposed project involve participation in community based planning and collaboration? Y/N/Not Relevant. Please explain all responses.

Q_1067

Will the proposed project ensure predictability in building and land use codes? Y/N/Not Relevant. Please explain all responses.

Q_1068

Will the proposed project promote sustainability by strengthening existing and creating new communities which reduce greenhouse gas emissions and do not compromise the needs of future generations, by among other means encouraging broad based public involvement in developing and implementing a community plan and ensuring the governance structure is adequate to sustain its implementation? Y/N/Not Relevant. Please explain all responses.

Q_7341

By entering your name in the box below, you certify, under penalty of perjury, that the information given herein is true and correct in all respects for the company or organization applying for funding (the "Company"), presently and for the past five years: -the Company is not a party to any litigation or any litigation is not pending or anticipated that could have an adverse material effect on the company's financial condition;

-the Company does not have any contingent liabilities that could have a material effect on its solvency;

-the Company, its affiliates or any member of its management or any other concern with which such members of management have been officers or directors, have never been involved in bankruptcy, creditor's rights, or receivership proceedings or sought protection from creditors;

-the Company is not delinquent on any of its state, federal or local tax obligations;

-No principal, officer of the Company, owner or majority stockholder of any firm or corporation, or member of the management has been charged or convicted of a misdemeanor or felony, indicted, granted immunity, convicted of a crime or subject to a judgment, or the subject of an investigation, whether open or closed, by any government entity for a civil or criminal violation for: (i) any business-related activity including, but not limited to, fraud, coercion, extortion, bribe or bribe receiving, giving or accepting unlawful gratuities, immigration or tax fraud, racketeering, mail fraud, wire fraud, price fixing or collusive bidding; or (ii) any crime, whether or not business related, where the underlying conduct relates to truthfulness, including but not limited to, the filing of false documents or false sworn statements, perjury or larceny;

-the Company or any of the Company's affiliates, principal owners or Officers has not received a violation of State Labor Law deemed "willful";

-the Company or any of its affiliates has never been cited for a violation of State, Federal, or local laws or regulations with respect to labor practices, hazardous wastes, environmental pollution or other operating practices;

-there are not any outstanding judgments or liens pending against the Company other than liens in the normal course of business.

-the Company or any of its affiliates, principal owners or officers the company has not been the subject of any judgments, injunctions, or liens including, but not limited to, judgments based on taxes owed, fines and penalties assessed by any governmental agency, or elected official against the Company.

- the Company or any of its affiliates, principal owners or officers the company has not been investigated by any governmental agency, including, but not limited to, federal, state and local regulatory agencies

-the Company or any of its affiliates, principal owners or officers the company has not been debarred from entering into any government contract; been found non-responsible on any government contract; been declared in default ore terminated for cause on any government contract; been determined to be ineligible to bid or propose on any contract; been suspended from bidding on any government contract; received an overall unsatisfactory performance rating from any government agency on any contract; agree to a voluntary exclusion from bidding or contracting on a government contract.

- the Company or any of its affiliates, principal owners or officers the company has not failed to file any of the required forms with any government entity regulating the Company. By entering your name in the box below, you agree to allow the Department of Taxation to share the Company tax information with ESD. By entering your name in the box below, you agree to allow the Department of Labor to share tax and employer information with ESD. Note: If any of the statements above are not true, in addition to entering your name, also include an explanation in the box below, indicating which issue you are addressing.

Q_1038

By entering your name in the box below, you certify that you are authorized on behalf of the applicant and its governing body to submit this application. You further certify that all of the information contained in this Application and in all statements, data and supporting documents which have been made or furnished for the purpose of receiving assistance for the project described in this application, are true, correct and complete to the best of your knowledge and belief. You acknowledge that offering a written instrument knowing that the written instrument contains a false statement or false information, with the intent to defraud the State or any political subdivision, public authority or public benefit corporation of the State, with the knowledge or belief that it will be filed with or recorded by the State or any political subdivision, public authority or public benefit corporation of the State, constitutes a crime under New York State Law.

Q_2365

By entering your name in the box below, you are acknowledging that ESD’s Contractor & Supplier Diversity policy will apply to this project. You are further acknowledging that you are aware of ESD’s agency-wide Minority and Women Business Enterprise (‘MWBE’) utilization goal of 30%. Please note that each project will be assigned an individual contract-specific goal, which may be higher or lower than 30%. Furthermore, you understand that, should this project receive a funding award, the Applicant shall be required to use good faith efforts to achieve the prescribed MWBE goals assigned to this project and failure to attain MWBE goal could result in grant amount being reduced.

Q_4182

By entering your name in the box below, you certify and agree that you are aware that your award will be reduced in proportion to the reduction of jobs and/or total project costs. Furthermore, you understand that, should this project receive a funding award, the Applicant will maintain such records and take such actions necessary to demonstrate such compliance throughout the completion of the project.

Q_3713

Management

Q_3714

Computer and Mathematical

Q_3715

Production

Q_3716

Community and Social Services

Q_3717

Construction and Extraction

Q_3718

Life, Physical, and Social Science

Q_3719

Healthcare Practitioners and Technical

Q_3720

Installation, Maintenance, and Repair

Q_3721

Building and Grounds Cleaning and Maintenance

Q_3722

Food Preparation and Serving Related

Q_3723

Arts, Design, Entertainment, Sports, and Media

Q_3724

Protective Service

Q_3725

Legal

Q_3726

Sales and Related

Q_3727

Architecture and Engineering

Q_3728

Personal Care and Service

Q_3729

Healthcare Support

Q_3730

Transportation and Material Moving

Q_3731

Farming, Fishing, and Forestry

Q_3732

Business and Financial Operations

Q_3733

Education, Training, and Library

Q_3734

Office and Administrative Support

Q_3735

1st Most Common Recruitment Method
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)

Q_3738

1st Most Common Recruitment Method - Other

Q_3741

1st Most Common Recruitment Method - Percentage of Use

Q_3736

2nd Most Common Recruitment Method
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)

Q_3739

2nd Most Common Recruitment Method - Other

Q_3742

2nd Most Common Recruitment Method - Percentage of Use

Q_3737

3rd Most Common Recruitment Method
  • None,In-house Recruitment (employee referrals / in-house applicants),Job Posting (company website / NYS DOL / online job boards / newspaper),Social Recruiting (LinkedIn/Twitter/Facebook),Talent Communities,Career Fairs (physical and virtual),Recruiters/Headhunters,NYS Career Center Services,Other (please specify)

Q_3740

3rd Most Common Recruitment Method - Other

Q_3743

3rd Most Common Recruitment Method - Percentage of Use