New York State Clean Energy Internship Program Business Registration Form

NYSERDA is currently upgrading the business application website for the Clean Energy Internship Program and is not accepting applications at this time. Information entered below cannot be submitted.

Please return to the program webpage in 2-3 days to submit your application. If you have any questions in the meantime, contact cleanenergyinternship@nyserda.ny.gov.

Thank you for your interest in developing the next generation of clean energy professionals.

The New York State Clean Energy Internship Program will help provide clean energy businesses and organizations in the State with a pool of young, skilled workers while equipping people entering the industry with relevant career experiences.

The program facilitates the placement of paid interns at qualified clean energy companies or organizations across the state and will partially fund the intern salary. Funding is allocated on a first-come first-served basis to employers that register and get all completed required materials to NYSERDA.

Be sure to have all required information with you before completing this application, including the document uploads. You will not be able to save partially completed applications. You will receive a tracking number and confirmation on your screen to print or save after you have submitted the application.

Full details on the Clean Energy Internship Program are available via the Current Funding Opportunities page. If you have any questions, contact the internship program at CleanEnergyInternship@nyserda.ny.gov.

Please note: Partially completed information cannot be saved, be sure to have all details with you before beginning the form. For the best form completion experience, use the Google Chrome browser.

Applicant Information

Legal Business Name

Address

Address 2

City

State

State Zip/Postal Code

Business Website

Tax Identification Type

Employer Identification Number (EIN)

Do not submit a Social Security Number to NYSERDA on this form.

If, in accordance with the rules on IRS Form-W9, your taxpayer identification number is a Social Security Number, complete all other information on this form and leave Employer Identification Number blank. In addition to this printed form, mail a printed and signed copy of IRS Form W-9 to NYSERDA, attention: NYSERDA Finance, 17 Columbia Circle, Albany, NY 12203. Include your auto-generated Application Number on this and any forms submitted by mail to NYSERDA. You will receive your Application Number upon submission of your application. Click to view or print the IRS Form W-9.

Current Business Size

Note: Principals of corporations and owners of businesses such as sole proprietors or partners are not considered to be employees for this employee count. Interns are also not included in the employee count. Businesses must have at least two or more employees or the equivalent of two full-time employees to be eligible for the program.

Enter number of employees:

Note: The internships must be based out of a business’ office located in the System Benefits Charge (SBC) service territories. Nassau and Suffolk counties are not in SBC service territory and therefore do not appear in the list below.

Applicant Primary Clean Energy Sector(s). Select all that apply.

Alternative Transportation

Energy Efficiency

Grid Modernization and Energy Storage

Renewable Electric Power Generation

Renewable Fuels

Alternative Transportation: including electric; hybrid; plug-in hybrid and fuel cell/hydrogen vehicles; battery storage; as well as natural gas and other alternative fuel buses;
Energy Efficiency: including lighting; heating, ventilation and air conditioning; air source heat pumps; advanced building materials; insulation and air sealing and; other high efficiency product and services;
Grid Modernization and Energy Storage: including smart grid; microgrid; demand response management and; grid storage;
Renewable Electric Power Generation: including solar; wind; geothermal; low-impact hydropower and; other renewable generation technologies;
Renewable Fuels: including biofuels such as wood pellets and ethanol.

Primary Contact Title

Primary Contact Email

Primary Contact Phone Number

Primary Contact Phone Extension

Describe the general nature of the internship(s) you plan to offer and include how the internship will relate to clean energy. Note: After businesses are approved to participate in the program, businesses will submit detailed job descriptions outlining intern activities and responsibilities to NYSERDA for approval for each individual intern a business would like to hire through the program.

How did you hear about the New York State Clean Energy Internship Program?

Other - Please specify

Upload(s)

Related Documents - any additional information you'd like to add about your business.

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Certification

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I, the Applicant, certify that the information submitted in this application is true and accurate to the best of my knowledge, and that I have the authority to apply for the New York State Clean Energy Internship Program on behalf of the organization on whose behalf I appear here. I understand that the submission of these materials does not guarantee my receipt of funding through this program. I certify that the entity on whose behalf I submit this application has not intentionally reduced its existing workforce (i.e. terminated an existing employee or given an existing employee a partial work reduction) to hire an Intern under the New York State Clean Energy Internship Program, and that this organization will not discriminate against the unemployed, formerly incarcerated or any other protected class in selection of an intern under the New York State Clean Energy Internship Program. To the best of my knowledge, this information is true, correct, and complete. If selected, I agree to follow the appropriate procedures outlined in the New York State Clean Energy Internship Program (PON 4000) for timely reimbursement of intern wages and that I understand and agree to the Host Business Agreement Terms and Conditions outlined in Attachment A of PON4000. By submitting this application, you authorize NYSERDA and entities doing business on NYSERDA’s behalf to add you to the mailing lists and to share your information with other New York State government entities. Your information will not be shared outside of New York State government, and you reserve the right to unsubscribe at any time.

Tracking Number

You will be provided with a Tracking Number upon submission.