Will the business entity provide training that meets all the eligible training criteria below?
1. It will upgrade, retrain or improve the productivity of employees;?
2. It will satisfy a business need on the part of the participating business entity;
3. It is not designed to train or upgrade skills as required by a federal or state entity; and
4. It is structured to result in measurable advancements in skills and competencies that will contribute to opportunities for advancement for employees who complete the training.?

Does the business entity meet all of the following criteria?
1. The business entity operates New York State as a semiconductor manufacturing business or a manufacturing business; and
2. The business entity can demonstrate that it is conducting eligible training or obtaining eligible training from a third-party provider; and?
3. The business entity can demonstrate it is in compliance with all worker protection and environmental laws and regulations.
4. The business entity can demonstrate that it does not owe past due state taxes or local property taxes.?

Will expenses included in this project (including wages) be used to claim any other NYS tax credit?

Are you applying for the Workforce Training Tax Incentive as a Manufacturing Business or a Semiconductor Manufacturing Business?

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

Project county or counties.

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

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.)

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.)

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.)

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.

Is the applicant a DBA?

What is the applicant's DBA name?

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 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 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 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

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.

Attach an organizational chart along with a brief description of the ownership structure. Please specify the ownership of the applicant’s business including the names of principal owners, include the percentage of ownership for each individual entity (if applicable), and if the company is a parent, subsidiary and/or affiliate of another company, please provide a description of the relationship. Additional financial information may be requested.

Please provide any other relevant information to show how the project provides training and improvements to the workforce, and/or any additional context/documentation related to your training program plan.

*It is recommended that you zip these additional files together in a single pdf for upload.

A third party completing this application is required to disclose their name, company and contact name. Is a third party completing this application?

Provide the third party name and contact info.

Applicant website

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

Has the applicant entity retained a Professional Employment Organization (PEO) for any of its workforce, or do they plan to for the upcoming years?

What is the Name of the Professional Employment Organization (PEO)?

What is the Professional Employment Organization's FEIN?

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

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.

Please select the type of business you are applying as for the Workforce Training Tax Incentive Program.

Is the proposed workforce training project a new program or an existing program?

Provide a comprehensive description of the proposed workforce training project.

Provide a detailed timeline for the training program, indicating a start and end date and the number of trainees expected in each session.

*Please note that participants accepted into the program have two (2) years from the date of eligibility to submit a final request for the tax credit being offered.

Specify the primary location where the training will take place.

What specific skills and types of training will be provided to participants?

Will trainees earn any type of credentials or certification?

List any transferable credentials or certifications that participants will have the opportunity to earn upon completion and who the certifying body is of the credential or certification.

Training programs are required to be structured to result in measurable advancements in skills and competencies that will contribute to opportunities for advancement for employees who complete the training. Please indicate how assistance will be provided for opportunities for advanced job placement within the company upon completion of training.

Describe any other expected outcomes and specific deliverables that will result from this project.

Describe the wraparound services (such as childcare, transportation, or coaching) that will be provided to ensure participant success.

How many new Full-Time Equivalent (FTE) positions does the business plan to hire and train within the eligible time frame?

*Time frame for eligible hires= the 12-month period before and after the Application Submission Date

**Please note, that upon completing of the training program, eligible participants will be required to submit a final application to receive credits in which documented costs and proof of payments will be required.

What is the total estimated gross wage amount expected to be paid to the FTEs listed above during the training program? Please input a single total for wages.

*Please note, that upon completing of the training program, eligible participants will be required to submit a final application to receive credits in which documented costs and proof of payments will be required.

Indicate the anticipated cost of training program and wrap around services directly related to the training program.

*Please note, that upon completing of the training program, eligible participants will be required to submit a final application to receive credits in which documented costs and proof of payments will be required.

Based on the program’s guidelines, what is the total tax credit amount the business plans to request for the training of the newly hired Full Time Employees?

*The amount of the credit shall be equal to 75 percent of wages, salaries or other compensation, training costs, and wraparound services up to a credit of $25,000 per employee receiving eligible training. The credit amount shall not exceed $1 million per eligible manufacturing business or $5 million per eligible semiconductor manufacturing business. Such credit limits shall apply to the lifetime of the eligible manufacturing business or semiconductor manufacturing business.

*Please note, this is not a guarantee of the credit amount, but an estimate provided by the business to help provide context to the training program. Upon completion of the training program, eligible participants will be required to submit a final application to receive credits in which documented costs and proof of payments will be required.

Will the training be offered by the employer or a 3rd party trainer?

Organization Legal Name

Organization Address

Org City

Org State

Org Zip

First Name

Last Name

Contact Email

Contact Phone

Provide a brief description of third-party trainer knowledge and experience in providing such trainings.

Has the applicant applied for and/or been awarded funding from other New York State or local entities for this project?

Please detail the funding applied to for this project and the entity administering the funding. Do not include funding that has been awarded.

Please detail the funding awarded to this project and the entity administering the funding.

Has the applicant applied to and/or been awarded funding from a local IDA?

Please detail the funding applied for this project and the entity administering the funding. Do not include funding that has been awarded.

Please detail the funding awarded to this project and the entity administering the funding.

Has this project received offers or is it seeking funding opportunities from other states beside New York?

Please provide detail on other sites and amount/status of incentive offer.

Does your application contain 1) trade secrets, (2) information that, if disclosed, would cause substantial injury to the competitive position of your organization, or (3) critical infrastructure information? (All efforts should be made to provide such Information in the questions marked as “restricted.”)

Please identify the Question # and specific language for those portions of your application and accompanying documents you believe fall under these exemptions, and provide a detailed justification for the exemption from disclosure. See 'Click Here for Question Requirements' for formatting and additional information.

Is there any additional information you wish to provide that is relevant to your organization or project to be considered? If so, please provide.

Do you wish to learn more about incentives for establishing or expanding childcare services on site or nearby?

Does your company take advantage of or is considering taking advantage of employer provided childcare federal and state credits?

Does your company offer or is your company considering offering dependent care flexible spending accounts?

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.