Business Needs During Coronavirus (COVID-19)
Please enter your name.
What is your company's name?
What is your preferred email address to receive our email communications?
What is your work phone number?
Please enter your business five digit zip code.
How has coronavirus (COVID-19) impacted or how do you see the virus impacting your business in the next 15 - 30 days?
How do you see coronavirus (COVID-19) impacting your business in the next 31 - 90 days?
How many full-time jobs (35 hours or more per week) does your business have? Include yourself if you work full-time.
How many part-time jobs (less than 35 hours per week) does your business have? Include yourself if you work part-time.
Please indicate which employee benefits you currently offer. Please check all that apply:
Employee Stock Option
How many employees will be affected as a result of this situation?
Please provide your annual sales revenues (if any) for the last fiscal/calendar year.
How do you see your revenues being affected?
What areas would you like to receive assistance or additional resources as it relates to coronavirus (COVID-19) and your business?
Funding and Financial Assistance
Employee Leave Policies
Inventory and Supply Chain
Is there another area of assistance you wish to know more about?
What is your race?
Native American/Alaskan Native
African American or Black
Native Hawaiian/Pacific Islander
What is your ethnicity?
What is your gender?