Downstate: Applicant Registration

• National Grid Economic Developer: Imran Ansari
• *Your E-mail: Please enter your e-mail address.
• *Choose a Password: Please choose a password.
• *Your Name: Please enter your name.
• *Your Title: Please enter your title.
• Company Head: Please enter the name of your company head (President or CEO).
• Company Head Title: Please enter the title of your company head.
• Company Head E-mail: Please enter your company head's e-mail address.
• *Organization: NOTE: Your Organization Name must MATCH your W9 Form. This Organization Name will appear on all official notices from National Grid, including grant checks, if awarded, and they must MATCH.
• *Business Address: NOTE: Business address should be the address for all the official notices from National Grid, including grant checks, if awarded.
• *City: Please enter the city where your organization is located.
• *County: Kings Queens Nassau Suffolk Richmond Click to select the region where your organization is located.
• *State: New York Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Please select the state where your organization is located.
• *Zip: Please enter your zip code.
• *Telephone: Please enter your telephone number.
• * Telephone Type:
  Work
  Mobile
  Other
  
  Please confirm the type of telephone for the above phone number.
• Fax: Please enter your fax number.
• *Federal Tax ID Number: NOTE: Federal Tax ID Number and number on the required W-9 Form must match.
• Organization Type:
  Public/Government Agency
  Private Corporation
  Not for Profit or EDO (Econ Dev Org)
  Other:
  Please select your organization type.
• Relationship to Project:
  Owner
  For-profit developer
  Tenant
  Not for-Profit developer
  Government official
  Other:
  What is your relationship to the project for which the funding is being requested? Check all that apply.

Date:




• Please tell us how you heard about this program:
  NYS Public Service Commission
  NYS Empire State Development Corporation
  National Grid
  NYS Economic Development Council
  Local Devlopment Agency (please specify):
  Other (please specify):
  


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Press Save & Continue to save your responses and continue to Step One. Once you have completed your application you will have the opportunity to View, Add and Edit if you wish. If you require any technical assistance please email info@shovelready.com or call Alisha at: 1-888-955-5592.