Program Questions:
New York State Business Incubator Program

Q_5944

Are you at Not-for-Profit organization?

Q_5993

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?

Q_7279

Has the applicant's incubator been in operation for three or more years?

Q_7424

Can your incubator meet the minimum 2:1 match requirement for this grant?

Q_2010

Is the applicant physically located in New York State?

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_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_972

Project county or counties.

Q_1034

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

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_616

For more than one project location, please provide full address(es) for each location. If Not Applicable, indicate "NA".

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_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_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_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_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_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_546

Legal Name of Applicant

Q_5416

Applicant First Name

Q_5417

Applicant Last Name

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_5257

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

Q_547

Contact First Name

Q_1049

Contact Last Name

Q_1050

Contact Title

Q_5490

Primary Organization

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_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_5493

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

Q_1052

Additional Project Contact First Name

Q_970

Additional Project Contact Last Name

Q_1051

Additional Contact Title

Q_5492

Additional Organization

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_3762

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?

Q_3763

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).

Q_3764

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?

Q_4200

Does your project provide opportunities for Veterans’ to participate in the workforce, or improve services to the Veterans’ and military families in New York?

Q_4201

If Yes, please explain how your project impacts the Veterans’ and military families in New York.

Q_6048

Does your project advance downtown revitalization?

Q_6047

If Yes, please detail how it will attract and retain residents, visitors and businesses and transform neighborhoods.

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_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_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_6663

Please attach your business incubator's Strategic Plan, Acceptance Policy and Graduation Policy.

Q_6700

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.

Q_7278

Does the incubator's operating budget demonstrate financial soundness and strength?

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_7240

[New Table]

Q_7241

Economic Impact Metrics 2015 Annual Company Revenues

Q_7242

Economic Impact Metrics 2016 Annual Company Revenues

Q_7243

Economic Impact Metrics 2017 Annual Company Revenues

Q_7244

Economic Impact Metrics 2014 Aggregate Outside Investment (Fed, Private)

Q_7245

Economic Impact Metrics 2014 Aggregate Payroll of Companies Served

Q_7246

Economic Impact Metrics 2014 Total Jobs Created by Companies Served

Q_7247

Economic Impact Metrics 2014 Total Jobs Retained by Companies Served

Q_7248

Economic Impact Metrics 2014 Number of Companies Graduated

Q_7249

Economic Impact Metrics 2014 Number of Companies Served

Q_7250

Economic Impact Metrics 2015 Aggregate Outside Investment (Fed, Private)

Q_7251

Economic Impact Metrics 2016 Aggregate Outside Investment (Fed, Private)

Q_7252

Economic Impact Metrics 2017 Aggregate Outside Investment (Fed, Private)

Q_7253

Economic Impact Metrics 2015 Aggregate Payroll of Companies Served

Q_7254

Economic Impact Metrics 2016 Aggregate Payroll of Companies Served

Q_7255

Economic Impact Metrics 2017 Aggregate Payroll of Companies Served

Q_7256

Economic Impact Metrics 2017 Number of Companies Served

Q_7267

Economic Impact Metrics 2015 Total Jobs Created by Companies Served

Q_7268

Economic Impact Metrics 2016 Total Jobs Created by Companies Served

Q_7269

Economic Impact Metrics 2017 Total Jobs Created by Companies Served

Q_7270

Economic Impact Metrics 2015 Total Jobs Retained by Companies Served

Q_7271

Economic Impact Metrics 2016 Total Jobs Retained by Companies Served

Q_7272

Economic Impact Metrics 2017 Total Jobs Retained by Companies Served

Q_7273

Economic Impact Metrics 2015 Number of Companies Graduated

Q_7274

Economic Impact Metrics 2016 Number of Companies Graduated

Q_7275

Economic Impact Metrics 2017 Number of Companies Graduated

Q_7276

Economic Impact Metrics 2015 Number of Companies Served

Q_7277

Economic Impact Metrics 2016 Number of Companies Served

Q_2044

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

Q_2047

What is the strategic plan for the operation of the incubator?

Q_2027

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.

Q_7221

Is your incubator affiliated with a college or university or a group of colleges and universities or independent research laboratories in the region?

Q_7223

What is your demonstrated ability to successfully transition technology from a college, university or research laboratory to the marketplace?

Q_2026

What is the track record of your incubator in accelerating growth of start-ups?