Do you own/operate a small business located in Osawatomie, Kansas? *
How many employees do you have (including ownership roles)? *
Did any national, state, or local order due to the pandemic cause significant disruption to your business operation? *
Were you forced to close at any point since March 1st, 2020? *
Have you laid off or furloughed any employees since March 1st, 2020? *
Do you identify as a non-profit clinic or hospital? *
If 'Yes,' did you purchase PPE that was NOT covered by your insurance? *
Do you operate a meal program for the community as a whole (food bank, etc.), or for a specific population within the community (Meals on Wheels, etc.)? *
If 'Yes,' did you incur damages or losses that aren't covered by your insurance? *
Are you interested in receiving grants for losses incurred as a result of COVID-19? *
Are you willing to allow the City of Osawatomie to submit grant applications on behalf of your company? *