Are you applying for the ESD’s Office of Strategic Workforce Development (OSWD) Capital Grant and/or Pay for Performance Operating Grant?

Is your organization a company seeking funding to train only your employees?

Is the applicant organization one of the following eligible applicant types: community-based organizations, not-for-profit organizations, chambers of commerce and trade associations, certain governmental organizations (such as workforce development boards, Boards of Cooperative Educational Services (BOCES), municipalities, etc.), higher education institutions (public or private four-year colleges/universities, or two-year community colleges), career and technical education providers, organized labor training programs, and for-profit training providers?

Do jobs obtained through the associated training program/s meet the “good jobs” definition of being skilled jobs that pay minimally a living wage for workers to support themselves in the modern economy, allow for career and salary growth, provide economic security, and remove the need for public assistance?

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).

Project City

Project State

Project county or counties.

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

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

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

US Congressional District where the project is located. (This question's value will be filled automatically, based on the project address, when the application is finalized.)

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

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

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.

Does the project align with the Regional Economic Development Council's Strategic Plan?

Explain how the project aligns with the Regional Economic Development Council's Strategic Plan.

Type of Applicant (select one)
Applicants will first select a single applicant type from the categories below and then a subtype based on their initial selection. Applicants should review the selections below which provides a list of subtypes by main applicant type.

1. For Profit entity options:
Limited Liability Corporation (LLC)
Limited Liability Partnership (LLP)
Sole Proprietorship
S Corporation
C Corporation
Limited Partnership (LP)
Other- applicant will be required to list their other for-profit designation.

2. Not-for profit entity options:
501(c)(1) Any corporation that is organized under an act of Congress that is exempt from federal income tax;
501(c)(2) Corporations that hold a title of property for exempt organizations;
501(c)(3) Corporations/funds/foundations that operate for religious/ charitable/ scientific/ literary/ educational purposes;
501(c)(4) Nonprofit organizations that promote social welfare;
501(c)(5) Labor, agricultural, or horticultural associations;
501(c)(6) Business leagues/chambers of commerce/etc. that are not organized for profit;
501(c)(7) Recreational organizations; and
Other- applicant will be required to list their other not-for-profit designation.

3. Government entity options:
Federal
State
County
City
Town
Village
Tribal
School District
County or Town Improvement District
District Corporation
Public Authority
Business Improvement District
Fire District
Board of Cooperative Education Services (BOCES)
Public Library
Association Library
Other- applicant will be required to list their other government designation.

Select the for-profit entity of the applicant applying for funding:

Enter the applicant's 'Other' for-profit entity designation.

Select the not-for-profit entity of the applicant applying for funding:

Enter the applicant's 'Other' not-for-profit entity designation.

Select the government entity of the applicant applying for funding:

Enter the applicant's 'Other' government entity designation.

Is the applicant a DBA?

What is the applicant's DBA name?

Select an applicant ID type from the list below that you normally use to identify your organization on application forms.

Based on your selection from the previous question, enter the associated ID number.

If you are a business, have you been certified as a New York State Minority or Women-owned Business Enterprise (MWBE)?

Organization Legal Name

Applicant First Name

Applicant Last Name

Applicant Street Address

Applicant City

Applicant State

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

Applicant Telephone Number (please include area code)

Applicant Email Address

Contact Salutation

Contact First Name

Contact Last Name

Contact Title

Primary Organization

Contact Street Address

Contact City

Contact State

Contact ZIP Code (please use ZIP+4 if known)

Primary Contact Phone Number. (please include area code)

Contact Email

Contract Salutation

Contract First

Contract Last

Contract Title

Authorized Organization

Contract Street

Contract City

Contract State

Contract Zip (please use ZIP+4 if known)

Contract Phone (please include area code)

Contract Email

Additional Salutation

Additional Project Contact First Name

Additional Project Contact Last Name

Additional Contact Title

Additional Organization

Additional Contact Street Address

Additional Contact City

Additional Contact State

Additional Contact ZIP (please use ZIP+4 if known)

Additional Contact Telephone Number (please include area code)

Additional Contact Email Address

Statement of need: Provide a brief summary of the need for the project in the geographic area proposed and the project's financing needs, including funding gaps of the proposed project.

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".

Does this project require State and/or Federal Environmental Review?

What is the status of State and/or Federal Environmental Review?

Please indicate the lead agency (if applicable).

Has a National Environmental Policy Act (NEPA) Record of Decision been issued?

Please explain decision and include date of Record of Decision.

Has the applicant or project been awarded funding 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 provide letters of commitment from each of the industry partner companies listed in the grant application. Letters should explain the company's specific role(s) in the project such as financial commitment, involvement in curriculum development, instructional partnership, apprenticeship/internship/job placement partnership, recruitment of program trainees, projected hiring needs, etc.

Please provide letters of commitment from each of the partnering organizations involved in recruitment, training, job placement, or external providers of wraparound services. Letters should explain the organization’s specific role(s) in the project.

If you would like to include additional letters of support for your project, please scan and upload them all as one document.

Using the budget template linked below, please upload a draft budget detailing all eligible programmatic expenses, including both expenses supported by grant funding and match funding.

Please provide a detailed overview of the Program Curriculum.

Please provide an organizational chart and the resumes of key personnel involved in program implementation.

Attach interim financial documents for 2025

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 2025. For-publicly traded companies, please provide Form 10-K for 2025.

Attach 2024 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 2024. For-publicly traded companies, please provide Form 10-K for 2024.

Attach 2023 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 2023. For-publicly traded companies, please provide Form 10-K for 2023.

Attach 2022 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 2022. For-publicly traded companies, please provide Form 10-K for 2022.

Are you applying for a Workforce Capital Grant?

If available, please provide applicable proof of site control.

If available, please provide applicable design plans.

If available, please provide applicable floor plans.

If available, please provide applicable engineering and/or environmental analyses.

If available, please provide applicable cost estimates.

If available, please provide applicable specification sheets.

If available, please provide applicable market analyses.

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 "View Help" for links to forms.

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.

Have any other entities completed a Climate Impact Statement or other similar form for this project?

Attach a copy of the completed Climate Impact Statement or similar form.

Has an Environmental Impact Statement been prepared for this project?

Attach copy of the Greenhouse Gas Emission section.

Have the greenhouse gas emissions expected from the project been quantified in any other way?

Attach copy of the supporting calculations and other material.

Did you answer yes to the any one of the following three questions?

Q_16310: Have any other entities completed a Climate Impact Statement or other similar form for this project?

Q_16312: Has an Environmental Impact Statement been prepared for this project?

Q_16314 Have the greenhouse gas emissions expected from the project been quantified in any other way?

Have you uploaded supporting documentation in the attachments section of this application?

Does the project involve new building construction or renovation of an existing building?

You should select 'Yes' only if the project involves new building construction or the renovation of an existing building. If you answer 'Yes' to less than 4 questions in this section (Part B - The Building), not including this question, and are awarded, you may be contacted to incorporate greenhouse gas mitigation measures into your project.

Is the project an adaptive reuse of an existing building?

Explain briefly:

Explain briefly:

Will the project reuse building materials?

Explain briefly:

Explain briefly:

Will the project recycle rehabbed building materials?

Explain briefly:

Explain briefly:

Will the project incorporate low-carbon building materials into construction?
Some examples of low-carbon materials and products in the market include low-carbon bricks, concrete, tiles and recycled metals.

Explain briefly:

Explain briefly:

Will the project utilize an energy efficient building envelope or improve building weatherization through, for example, insulation, air sealing, and/or replacing poorly performing windows and doors?

Explain briefly:

Explain briefly:

Will the project adopt measures to avoid, reduce or re-use waste?

Explain briefly:

Explain briefly:

Will the project utilize climate friendly refrigerants (those with a Global Warming Potential of less than 10) instead of hydrofluorocarbons?

Explain briefly:

Explain briefly:

Will the project incorporate energy efficiency measures such as smart thermostats, energy efficient lighting, or heat pumps for space heating and cooling?

Explain briefly:

Explain briefly:

Will the project make use of thermal energy networks, such as those that utilize, for example, ground-source heat pumps, waste heat, or industrial process heat to provide space heating, cooling and/or domestic hot water?

Explain briefly:

Explain briefly:

Will the project incorporate infrastructure for charging/fueling zero-emission vehicles?

Explain briefly:

Explain briefly:

Will the project install on-site renewable energy systems and/or on-site battery storage systems to contribute to the project’s energy needs?

Explain briefly:

Explain briefly:

Will the project utilize renewable energy for at least 50% of its electricity?

Explain briefly:

Explain briefly:

Will the building systems be 100% electrified?

Explain briefly:

Explain briefly:

Are there any renewable energy or energy efficiency improvements being made to the building as part of the project that are not reflected in the items above?

Explain briefly:

Explain briefly:

Does the project involve the installation, expansion or renovation of a manufacturing process?

Will the project use innovative measures to reduce emissions such as low-carbon thermal solutions or carbon capture, storage, and utilization?

Explain briefly:

Explain briefly:

Will the project use cleaner fuels, such as hydrogen formed without greenhouse gas emissions through the use of electrolysis powered by renewable electricity, to replace or displace the use of fossil fuels?

Explain briefly:

Please identify the fuels and systems that will be employed in the manufacturing process and explain why cleaner fuels or electrification will not be used.

Will the project incorporate mitigation measures for process emissions?

Explain briefly:

Explain briefly:

Will the project use best available control technology for mitigating and controlling greenhouse gas emissions?

Explain briefly:

Explain briefly:

Are there any renewable energy or energy efficiency improvements being made to the manufacturing process as part of the project that are not reflected in the items above?

Explain briefly:

Explain briefly:

Please select which of OSWD’s priority industries the training program prepares participants for:

For each training program supported by this project, describe which industry/industries are prioritized by the training program. Explain how this meets the criteria of an in-demand job category in which training is needed and how your approach is responsive to the needs of industry, specifically the business and industry partners of the program.

Provide a detailed description of the training program associated with the project. Include the distinct features of the program such as the purpose it serves, learning outcomes, credentials earned, geographic location focus, duration of training, applicable placements/apprenticeships, and professional skills training.

Please provide a detailed timeline for implementation with proposed actions and deliverables. Please start timeline at least six months from application proposal and organize timeline in quarterly intervals. Include estimates for relevant cohorts start and completion dates and hiring and planning activities. For Capital projects, also include estimates for design, permitting and construction or other major steps.

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

Describe the specific outcomes and goals of the project and how progress made toward these goals will be measured. How will the project have an impact on both the industry it will assist and the population it will serve?

Describe the specific needs and challenges each applicable training program is addressing in the community and/or the priority population and explain how your approach will address those needs and challenges.

Is this project in support of a new training program or an existing training program?

How long has the training program been in operation?

Is the training program applicable to jobs related to the renewable and clean energy sector?

Please describe how the training program is applicable to jobs related to the renewable and clean energy sector.

Will this project take place on multiple sites across New York State?

Please list the names and addresses of the locations where this project will take place.

Please describe any wraparound services that are currently offered to program participants by your organization and describe any partnerships with other organizations that currently provide support services for program participants.

Please describe how the training program leads to “good jobs,” or skilled jobs that pay minimally a living wage for workers to support themselves in the modern economy, allow for career and salary growth, provide economic security, and remove the need for public assistance.

Describe the skills and/or industry-recognized credentials that program participants will earn (e.g. specific professional skills, technical skills, certificate(s), license or certification, etc.). If it is an industry-recognized credential, please specify the credentialing organization.

What is the cost for the participants to enroll in the training? If participants do not pay, please explain how the cost is subsidized. Explain all costs associated with the program that are expected to be paid by training participants.

How does the applicable training program/s provide career pathway opportunities for entry-level and mid-skill workers? Please list specific upskilling opportunities that workers would be skilled for based on participation in the program/s to continue to advance their career, including those typically referenced in job postings.

Describe the organization's strategy for recruiting program applicants, particularly those from underrepresented communities.

What is the proposed trainee enrollment goal for the project? Only include trainees that will start and complete training within the proposed grant period.

What is the proposed trainee completion rate for the project?

What is the proposed job placement rate for the project?

OSWD aims for all funded projects and programs to achieve completion rates and job placement rates of at least 80%, which is consistent with the outcomes of recent grantees. If anticipated completion and placement rates are below 80%, please identify any extenuating rationale and any additional resources (e.g. wraparound services) that could increase these rates.

Please provide a detailed overview of training success metrics for both the current and previous calendar year including number of cohorts per year, number of participants enrolled, number of participants who completed, and number of participants placed in good jobs.

Please describe how this project will increase trainee completion and placement rates.

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

Please explain how your project impacts the Veterans’ and military families in New York.

Are you applying for a Workforce Capital Grant?

Does the applicant own the site or have a long-term lease with authorization to make capital improvements?

Describe how you plan to acquire the site or obtain a long-term lease with authorization for capital improvements.

Have any professional services been engaged?

List and describe all. (i.e. architect, third-party cost estimates, construction manager/general contractor, equipment identified, etc.)

Using the table below please detail the specific types of jobs and job titles the program/s will prepare participants for. Refer to O*Net at https://www.onetonline.org/ and provide O*Net codes for a maximum of 10 titles in which the participant will be trained. If you do not have the O*Net code, please put n/a. Job descriptions should be concise and contain primary skills and/or requirements. Please use this initial space for any notes on the jobs table below. If no additional notes, then put n/a and proceed to filling out the table.

Job Title #1

Job #1 O*Net Code (format= xx-xx-xxxx.xx)

Job #1 description

Job Title #2

Job #2 O*Net Code (format= xx-xx-xxxx.xx)

Job #2 description

Job Title #3

Job #3 O*Net Code (format= xx-xx-xxxx.xx)

Job #3 description

Job Title #4

Job #4 O*Net Code (format= xx-xx-xxxx.xx)

Job #4 description

Job Title #5

Job Title #6

Job Title #7

Job Title #8

Job Title #9

Job Title #10

Job #5 O*Net Code (format= xx-xx-xxxx.xx)

Job #6 O*Net Code (format= xx-xx-xxxx.xx)

Job #7 O*Net Code (format= xx-xx-xxxx.xx)

Job #8 O*Net Code (format= xx-xx-xxxx.xx)

Job #9 O*Net Code (format= xx-xx-xxxx.xx)

Job #10 O*Net Code (format= xx-xx-xxxx.xx)

Job #5 description

Job #6 description

Job #7 description

Job #8 description

Job #9 description

Job #10 description

Explain the mission of the applicant organization and how it relates to this proposal. Who will be involved in developing and implementing the project and what are their qualifications, including their participation in projects of a similar size and scope in the past?

What is the organization’s experience with projects of similar size and scale to the one proposed in this application? Please give specific examples of results and successes that demonstrate the organization’s established track record of effective training and trusted relationships within the communities it is proposing to serve (methods used for recruiting participants, number of individuals trained, placement and retention levels, anecdotal evidence from employers or trainees, etc.).

Describe partnerships relevant to this project including business and industry, training and education, and/or community partnerships. Please describe each partner’s roles and responsibilities.

Excluding any funding from OSWD or other ESD grant programs, are you able to secure, at a minimum, 50% matching funds (for Capital grants) or 25% matching funds (for Operating grants) of the total cost of the project?

If awarded, Workforce Capital and P4P Operating Grant funding will be distributed via reimbursement for approved expenses and will not be available for at least six months after an award is announced (for Operating grants) or until project completion (for Capital grants). What is the applicant organization’s plan to secure other sources of funding to cover up-front costs associated with the project prior to reimbursement?

Explain the need for funding through this program, including why funding is necessary to complete the project and why funding for this project cannot be acquired from existing funding sources. How does the funding you are seeking make it possible to reach your program or project goals, such as change to the number of participants or types of training that can be offered, or other results relevant to your goals?

Is there contingency funding available for this project to account for unanticipated or underestimated expenses?

Please explain the contingency funding available for this project.

Describe how the training program will be sustained financially once the grant period is over.

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?

Does the applicant have any outstanding applications for funding from other public or private sources (i.e. federal, state, local, philanthropic) for this project?

Please detail the funding applied for and the entity administering the funding.

Is the project receiving funds through an Industrial Development Agency (IDA)?

Through which IDA is the project receiving funding and what is the net value of IDA exemptions?

Please provide your Federal Employer Identification Number (FEIN). If you do not have a FEIN enter NA.

At the time of this application, how many full-time, permanent workers are employed at all New York State locations?

At the time of this application, how many full-time, permanent workers are employed at the site?

At the time of this application, how many part-time, permanent workers are employed at the site?

At the time of this application, how many full-time, temporary/seasonal workers are employed at the site?

At the time of this application, how many part-time, temporary/seasonal workers are employed at the site?

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.

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.

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% and ESD's agency wide Service-Disabled Veteran-Owned Business ('SDVOB') utilization goal of 6%. Please note that each project will be assigned an individual contract-specific goal, which may be higher or lower than the 30% and 6%, respectively. 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 and SDVOB goals assigned to this project and failure to attain MWBE and SDVOB goals could result in grant amount being reduced.

By entering your name in the box below, you certify and agree that you are aware that your application is a commitment specifically in regards to your organization's matched funds and as such, if your application is successfully awarded, at the full requested amount, your organization is committed to the amount of the match as written in your application. A reduction in a committed match will likely result in a reduction in the award amount.