Applicant Registration

• * National Grid Economic Developer: Jenna Kavanaugh Joe Russo Brian Anderson Amanda Vitullo Click to select your Upstate Economic Developer.
• Region: West North Central East Click to select the region where your organization is located.
• * Email: Please enter your e-mail address.
• * Password: Please choose a password.
• * Name: Please enter your name.
• * Title: Please enter your title.
• Company Head (President or CEO): Please enter the name of your company head (President or CEO).
• Head Title: Please enter your company head's title.
• Head Email: 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: Albany Allegany Broome Cattaraugus Cayuga Chautauqua Chemung Chenango Clinton Columbia Cortland Delaware Dutchess Erie Essex Franklin Fulton Genesee Greene Hamilton Herkimer Jefferson Lewis Livingston Madison Monroe Montgomery Nassau Niagara Oneida Onondaga Ontario Orange Orleans Oswego Otsego Putnam Rensselaer Rockland Saratoga Schenectady Schoharie Schuyler Seneca St Lawrence Steuben Suffolk Sullivan Tioga Tompkins Ulster Warren Washington Wayne Westchester Wyoming Yates 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.
• 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 (press CTRL to select multiple choices).
Date:



• Please tell use 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):
  
  Please tell us how you heard about this program.


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