ICAP Cohort 3.0 Application

ICAP Cohort 3.0 Application

The Innovation Cluster Accelerator Program Cohort 3, administered by Washington State Department of Commerce, aims to assist organizations with growing cluster operations, driving innovation in key sectors around the state, and attracting talent and capital.

Applications must be received by April 2, 2025 at 5:00 PM PST.

Any questions, contact the contract manager: Josh Woodson, josh.woodson@commerce.wa.gov

IMPORTANT NOTE: You cannot save and leave this document once it has been started. We recommend that you craft content on a separate document (Word, Pages, etc.). Copy and paste responses into these fields below. Once you hit send, this submission is final.

Submission of an application does not guarantee that applicants will receive funds. Commerce reserves the right to reject all applications and resolicit.

Commerce plans to award multiple contracts from this application process.

Applicant Organization*

Street Address*

City*

State*

Zip Code*

County*

Select

UBI Number*

SWV Number*

Do you have an SWV number? If no, you must certify you will obtain one within 15 days of being selected as a successful applicant

Select

SWV Number

SWV Certification

Applicant will obtain an SWV number within 30 days of being selected as a successful applicant.

Do you have an active UEI Number?*

Select

UEI Number

Select Organization Type*

Select

If Selected Other, Please Describe

Contact Information

Contact Person for application questions

Name*

Position/Title*

Phone*

Email*

Authorization

To the best of my knowledge, all data and information in this application are true and correct. As the Applicant, we will comply with the guidelines of this application if funds are awarded. The signature below constitutes assurance that the information provided in this Application accurately represents the applicant’s plans, activities and projected goals; and acknowledges the applicant understands that the above-mentioned, along with the approved budget, will be incorporated by reference in the Contract with the Washington State Department of Commerce

Authorized By*

Authorizer's Title*

Authorization*

I authorize all data and information in this application is true and correct to the best of my knowledge.

Conflict of Interest

Will any current or former Washington state employees be paid for participating in this project or do they serve on any board of directors involved in this project as of the date of this application?*

Select

If yes, please indicate their position and responsibilities.

*If following a review of this information Commerce determines a conflict of interest exists, the Applicant may be disqualified from further consideration

Proposed Budget

Directions – Complete the following questions for contract budget requested. The proposed budget must identify the costs that will be invoiced to the Washington State Department of Commerce for reimbursement.

Total Proposed Budget*

Total of cost categories (Max $150,000)

Will your organization be providing cash match for this state funding?*

Select or enter value

Amount

Will your organization be providing in-kind match for this state funding?*

Select

Amount

Questionnaire

1. Does your industry-cluster have a demonstrated commitment to reduce and mitigate impacts from greenhouse gases in overburdened communities, deploy renewable energy resources, increase energy efficiency or reduction, or other permissible uses pursuant to RCW 70A.65.260?*

Select

1a. If yes, please describe your cluster focus area.

Please detail how the cluster will work to reduce and mitigate impacts from greenhouse gases in overburdened communities, deploy renewable energy resources, increase energy efficiency or reduction, or other permissible uses pursuant to RCW 70A.65.260.