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Covid-19 Business Impact Survey
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Company/Organization Name
*
Your answer
Are you a member of OAACC?
*
Yes
No
Are you still in business?
*
Yes
No
Are you in need of a grant?
*
Yes
No
If yes, what do you intend to use it for?
*
Payroll
Bills
Marketing
Other
Will this grant enable you to stay in business?
*
Yes
No
Without a grant, do you expect to close?
*
Yes
No
Other:
Are you currently closed?
*
Yes
No
Other:
What were you able to do with the OAACC Resiliency Relief Grant first grant?
*
Your answer
How many employees did you have in March 2020?
*
Your answer
How many employees do you have in March 2021?
*
Your answer
Do you have documentation to support the above?
*
Yes
No
Maybe
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