Program Questions:
Employee Training Incentive Program

Q_1856

Are you a not-for-profit, municipality or public benefit corporation?

Q_4445

Has the training program or internship program already begun?

Q_4446

Does the business entity's proposed program, for which tax credits are being sought, meet one of the following?

(1) Skills training for new or current employees in connection with a significant capital investment

AND training will be provided by an Approved Third Party Training Provider

OR

(2) An internship program in advanced technologies or life sciences AND the business entity has less than 100 employees statewide

For more information about the program, please visit the following link: http://esd.ny.gov/BusinessPrograms/ETIP.html

Q_6556

Will the skills training program or internship program take place in New York State?

Q_6557

A training curriculum describing the skills and knowledge to be gained by the individuals completing the program, the activities to be engaged in, and the duration of the training/internship program MUST be provided as part of your application. Are you providing or will you provide a written curriculum for the skills training program or internship program?

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_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_565

Project City

Q_972

Project county or counties.

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_1034

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

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_3688

Contact Street Address

Q_3689

Contact City

Q_3690

Contact State

Q_3691

Contact ZIP Code

Q_3692

Contact Email

Q_550

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

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_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_546

Legal Name of Applicant

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_562

Primary Contact Phone Number. (please include area code)

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_4429

If you are applying for the Skills Training component, attach the training curriculum provided by the training provider. If you are applying for the Internship component, attach the training curriculum developed by the applicant. The curriculum must include the following information: A summary of the course, including the duration and a timeline for the implementation, and a description of the skills to be acquired by the participants. It should also identify employees of 3rd party providers, or employees of the applicant who will be responsible for managing and training employees or interns, and indicate the number of years the training provider has offered similar occupational skills training and/or service.

Q_4430

If you are applying for the skills training component of the Employee Skills Training Program, attach three bids from potential training providers for employee skills training, or attach an attestation detailing why three bids could not be secured along with any bids that were secured. If you are applying for the internship component only, attach an estimate of the total stipends to be paid.

Q_2331

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

Q_4428

Does the business entity operate predominately in one of the following industries: retail and wholesale, restaurant, real estate, law firm or legal services, medical or dental practice, hospitality, financial services, personal services, business administration support services, accounting firms, provides utilities or businesses engaged in generation or distribution of electricity, natural gas or steam production associated with the generation of electricity?

Q_6205

Which component of the Employee Training Incentive Program are you applying for?
  • Employee Skills Training, Internship, Both

Q_4491

Please explain how the training program will satisfy a business need on the part of the applicant business?

Q_4492

Please explain how the training program will upgrade, retrain, or improve the productivity of employees.

Q_3134

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

Q_3136

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

Q_740

What is the applicant's Federal Tax ID#?

Q_1142

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

Q_1075

Describe the ownership of the applicant’s business including, if applicable, the names of principal owners:

Q_1076

Identify the applicant’s parent and subsidiary companies (if none, please respond with N/A):

Q_4410

What is the first project year? (the year in which the training program, capital investment or internship program begins)

Q_1339

Applicant website

Q_4409

Does the applicant attest that the training program:


- Is NOT designed to train or upgrade skills as required by a federal or state entity;

- Will NOT result in the awarding of a license or certificate required by law in order to perform a job function;

- Is NOT culturally focused?

Q_4427

Please explain how the applicant meets one or more of the criteria for being considered a strategic industry. If you are applying for the internship component only, you may answer "N/A." (View Help for description of strategic industries)

Q_4425

If you are applying for the skills training component for training employees in connection with a significant capital investment, provide the following information: 1) Provide a full description of the type of capital investment(s) being made; 2) indicate the dollar amount being invested; 3) explain how the capital investment is related to the skills training program for which you are seeking assistance. If you are not applying for the skills training component (i.e. you are applying ONLY for the internship component), you may answer N/A. (View Help for more information)

Q_4431

Estimate the total eligible training costs associated with the skills training program. Eligible costs are fees charged by the approved third party training provider.

Q_4418

Where will the employee skills training take place?
  • Employees Workplace, Training Providers Facility, Other

Q_6855

Estimate the number of employees who will be trained under this proposed application.

Q_4420

Please identify the "advanced technology" or "life sciences" field in which the internship training will take place. If you are applying for the skills training component only, you may answer "N/A".

Q_4412

Does the internship program exist solely within New York State and provide training in advanced technology or life sciences to current students,recent graduates and/or recent members of the armed forces? (View Help for definition of advanced technology and life sciences)

Q_4413

Does the business applying for internship program tax credits employ less than 100 people in New York State?

Q_4421

Which entity will conduct the internship program training?
  • 3rd Party Training Provider, Employees from Applicants Business

Q_4414

Will the internship program last longer than twelve months per intern or displace current employees of the business?

Q_4507

Will the internship training be provided to interns who have not previously participated in an eligible internship program?

Q_4508

Will the internship training be provided to interns who are not current or former employees of the applicant business?

Q_4509

Will the interns participating in the internship program comprise less than 50% of the workforce of the applicant business?

Q_4422

How many interns will be included in the eligible internship program?

Q_4423

Please indicate the monthly stipend amount paid per intern. (Please provide monthly amount only)

Q_2195

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

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_1366

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

Q_4452

Pursuant to section 443(2) of the New York State Economic Development Law: As the preparer of this application, I attest to being an authorized representative of the applicant and, by placing my name in the box below, I hereby: 1. Agree to allow the Department of Taxation and Finance to share tax information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information law; 2. Agree to allow the Department of Labor to share tax and employer information with the Department of Economic Development. However, any information shared as a result of this agreement shall not be available for disclosure or inspection under the State Freedom of Information Law; 3. Allow the Department and its agents access to any and all books and records the Department of Economic Development may require to monitor compliance; 4. Provide a clear and detailed presentation of all related persons as defined in subparagraph (c) of paragraph 3 of subsection (b) of section 465 of the Internal Revenue Code to the applicant to assure the Department of Economic Development that any jobs indicated in this application are not being shifted within the State; 5. Certify, under penalty of perjury, that no employees of the applicant shall be displaced as a result of the provision of an internship program pursuant to section 442(2) of the Economic Development Law; 6.Certify, under penalty of perjury, that the applicant is in substantial compliance with all environmental, worker protection, and local, state and federal tax laws.

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.