Request for Relief: Business Support Fund
DISCLAIMER: We will distribute funds as equitably as possible throughout the neighborhood. We will review applications once we reach $10,000 in donations. We have a committee working to review and approve applications.  While we cannot *guarantee* funding, we are working to do our best.

You do not need to be a Greater Art Museum Business Alliance (GAMBA) member to apply.

We will review all applications received, however we are prioritizing businesses that fall within the Greater Art Museum Boundaries: West Oxford (North) to Callow Hill (south), Pennsylvania (West) to Ridge Ave (East)

Grants generally range between $500-$1500.

Sign in to Google to save your progress. Learn more
Email *
I operate a business in the Greater Art Museum Area. *
Business Name
Business Address
Contact Name
Contact phone
Are you a minority owned business (this is for data collection purposes only)
Clear selection
What goods or services does your business provide (please explain what your business does)?  
How long has your business been in operation?
What is your gross annual revenue?
What are your total annual expenses?
How many full-time employees do you have?
How many part-time employees do you have?
How much funding are you requesting?
What are your most immediate needs/expenses, in order of priority and amounts listed, to keep your business operational?   *
What is the minimum amount of monthly funding needed to help you cover your most urgent business-sustaining expenses?
If you receive these funds, how much longer do you anticipate you'll be able to operate? If closed, will these funds help you to  cover your fixed expenses or re-open your business when the mandatory shutdown ends?
Have you applied or are you planning on applying for other business relief programs? *
Please let us know what other funds you've applied to and if you were successful in receiving funds?(PLEASE NOTE: This will not affect your application, we just want a record of how well local businesses were compensated in this unprecedented time of need.) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fairmount CDC. Report Abuse