CEJA Application

Intake Form for CEJA Clean Energy Contractor Incubator at Elevate

Thank you for your interest in the CEJA Clean Energy Contractor Incubator at Elevate, serving the Southside of Chicago. Elevate is a Partner of the CEJA Contractor Incubator Hub program. This program is designed for clean energy contractors ready to grow their business with energy efficiency, renewable energy, HVAC upgrades, or other clean energy services. Whether you're just starting or scaling up, we are here to help you thrive in the clean energy economy.

The following Intake Form should be completed by clean energy business owners and should take approximately 10-15 minutes to complete. After you complete this form, someone from the Chicago South Hub will contact you shortly. If you need assistance completing the Intake Form, please email the program team at CEJA@elevatenp.org or call 855-205-2352.

Contact Information

This section asks for basic information about you.

First Name

Last Name

Phone Number

What is your preferred language?

Other preferred language

Date of birth?

About Your Business

This section asks for basic information and details about your business.

Legal Business Name

Do you operate under any “doing business as” (DBAs) or assumed names? If so, what are those?

Are you in good standing to conduct business in Illinois?

Use the Illinois business search to verify your status. Link: Business Entity Search

Business Structure

What year was your business established?

Business Address

Street Address

City

State

Postal Code

What was your business’s total revenue over the previous 12 months?

Please provide a short description of your business.

What type(s) of business services do you provide?

What other type(s) of business services do you provide?

What type(s) of contractor licenses does your business have?

What other type(s) of contractor licenses does your business have?

What type(s) of certifications does your business have?

What other type(s) of certifications does your business have?

How many employees does your business employ?

Include yourself and any other owners in the total count.

What types of projects are you interested in pursuing?

What other types of projects are you interested in pursuing?

Eligibility and Priority Community Information

This section asks whether the applicant is from priority communities for this program and whether the applicant is experiencing any barriers to employment.

Please provide your home address.

Home Street Address

Home City

Home State

Home Postal Code

Do you reside in a Restore, Reinvest, Renew (R3) Community? To determine if you live in an R3 Zone, please copy and paste this link into your browser and input your home address in the map

Do you reside in an Environmental Justice (EJ) Community? To determine if you live in an EJ Zone, please copy and paste this link into your browser and input your home address in the map

Have you been involved in the foster care system? For example, foster care placement, extended/after care, kinship, etc.

For example, foster care placement, extended/after care, kinship/relative care, etc.

Are you a displaced energy worker, as defined in the Energy Community Reinvestment Act?

A displaced worker is defined as an energy worker laid off or expected to be laid off within 5 years, due to the closure or downsizing of a fossil-fuel or nuclear plant, or a coal mine.

Have you had prior involvement with the criminal legal system?

Are you currently experiencing any of the following barriers to employment?

Select all categories that describe circumstances or conditions that may create barriers to employment or career advancement. These barriers can include economic, social, geographic, or personal factors that make it more difficult to find, secure, or maintain stable employment. To check if you reside in a QCT or DIA, visit WIOA

Do you have a high school diploma, GED, or HiSET?

Are you a current or past participant in the following programs?

Demographic Information

This section asks for demographic information.

What is your gender?

Self Describe

What is your race/ethnicity?

What other race/ethnicity?

Have you ever served in the U.S. Military?

Including active duty in the U.S. Armed Forces, Reserves, or National Guard.

Additional Information

How did you hear about this program?

Other How Heard

What resources and services are you most interested in?

What other resources and services are you most interested in?

Is there anything additional that you would like to share? Do you have any questions that you would like us to address?