Program Questions: New York State Business Incubator Program
Are you at Not-for-Profit organization?
Does the applicant commit to financially and programmatically maintain the incubator for the next five years in the event they are awarded a grant under this program?
Has the applicant's incubator been in operation for three or more years?
Can your incubator meet the minimum 2:1 match requirement for this grant?
Is the applicant physically located in New York State?
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).
Current State of Project Development (i.e. planning, preliminary engineering, final design, etc. You may enter N/A for non-project related applications)
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)
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".
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).
If National Environmental Policy Act (NEPA) Record of Decision has been issued, please explain (include date of Record of Decision).
If you are a DBA, what is your DBA name?
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
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)
Based on your selection from the previous question, enter your applicant ID number. (Please do not provide your social security number).
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
Legal Name of Applicant
Applicant First Name
Applicant Last Name
Applicant Street Address
Applicant ZIP Code. (please use ZIP+4 if known)
Applicant Telephone Number, (please include area code)
Applicant Email Address
Mr., Mrs., Ms., Dr.
Contact First Name
Contact Last Name
Contact Street Address
Contact ZIP Code
Primary Contact Phone Number. (please include area code)
Mr., Mrs., Ms., Dr.
Mr., Mrs., Ms., Dr.
Additional Project Contact First Name
Additional Project Contact Last Name
Additional Contact Title
Additional Contact Street Address
Additional Contact City
Additional Contact State
Additional Contact ZIP Code
Additional Contact Telephone Number
Additional Contact Email Address
Does your project directly address the needs of people in your region who are living in poverty and who seek resources for inclusion in the economic life of New York State?
How does your project seek to apply CFA funds for the purpose of eliminating barriers to skilled employment by poor people in your region, as identified by the Opportunity Agenda? Please describe any efforts to collaborate at the local or regional level (i.e. public, private, labor, philanthropic sectors).
How does your project build workforce development programs, improve physical infrastructure, and/or establish social services that connect people living in poverty in your region with skilled employment, in correspondence with the economic revitalization priorities, distressed community targets, and the industry growth areas identified in the Opportunity Agenda and Strategic Plan?
Does your project provide opportunities for Veterans’ to participate in the workforce, or improve services to the Veterans’ and military families in New York?
If Yes, please explain how your project impacts the Veterans’ and military families in New York.
Does your project advance downtown revitalization?
If Yes, please detail how it will attract and retain residents, visitors and businesses and transform neighborhoods.
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.
Statement of Need
Explain what makes your project a regional economic priority - for example creates jobs, economic investment, sustainability and community revitalization, government efficiency or consolidation etc.
How does your project align with the Regional Economic Development Council’s Strategic Plan/Upstate Revitalization Initiative Plan? (strategic plans are located at
If funding was awarded in prior CFA rounds, what were the CFA numbers for which funding was awarded? (separate multiple CFA numbers with commas)
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.
Please attach your business incubator's Strategic Plan, Acceptance Policy and Graduation Policy.
Is your application being done in partnership with other incubators in the region. If so, please list partner incubators and attach letters of participation by such incubators.
Does the incubator's operating budget demonstrate financial soundness and strength?
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).
Economic Impact Metrics 2015 Annual Company Revenues
Economic Impact Metrics 2016 Annual Company Revenues
Economic Impact Metrics 2017 Annual Company Revenues
Economic Impact Metrics 2015 Aggregate Payroll of Companies Served
Economic Impact Metrics 2016 Aggregate Payroll of Companies Served
Economic Impact Metrics 2017 Aggregate Payroll of Companies Served
Economic Impact Metrics 2017 Number of Companies Served
Economic Impact Metrics 2015 Total Jobs Created by Companies Served
Economic Impact Metrics 2016 Total Jobs Created by Companies Served
Economic Impact Metrics 2017 Total Jobs Created by Companies Served
Economic Impact Metrics 2015 Total Jobs Retained by Companies Served
Economic Impact Metrics 2016 Total Jobs Retained by Companies Served
Economic Impact Metrics 2017 Total Jobs Retained by Companies Served
Economic Impact Metrics 2015 Number of Companies Graduated
Economic Impact Metrics 2016 Number of Companies Graduated
Economic Impact Metrics 2017 Number of Companies Graduated
Economic Impact Metrics 2015 Number of Companies Served
Economic Impact Metrics 2016 Number of Companies Served
Type of Applicant (select all that apply)
For Profit, Not-For-Profit, Public Higher Education Institution, Private Higher Education Institution, Independent Research Institution, Federal organization, State organization, Regional organization, County organization, Local organization
What is the strategic plan for the operation of the incubator?
What new or expanded programs or services will be provided to start-up companies within the region as a result of the grant funding? Please provide a brief breakout of how the State funds will be used if awarded.
Is your incubator affiliated with a college or university or a group of colleges and universities or independent research laboratories in the region?
What is your demonstrated ability to successfully transition technology from a college, university or research laboratory to the marketplace?
What is the track record of your incubator in accelerating growth of start-ups?