Microenterprise Assistance Interest List
Dear Business Owners:

The City of Easthampton, with assistance from the Pioneer Valley Planning Commission, was awarded $900,000 from the Commonwealth to support economic and community development efforts in response to the COVID-19 pandemic. This funding is for a regional microenterprise business assistance grant program that includes the towns (and businesses) of Easthampton, Granby, Hadley, Hatfield, Southampton, South Hadley, and Westhampton. Grants of up to $10,000 will be made available for eligible microenterprise businesses that have been adversely impacted by COVID-19.

We are using this survey to collect contact information of interested businesses for Microenterprise Assistance grant funds and to verify preliminary eligibility. Submitting this information does not guarantee that you will receive grant funding. Eligibility requirements are determined by the MA Department of Housing and Community Development and are posted here: https://easthamptonma.gov/planning.

Regardless of whether you think you have an eligible microenterprise, please take a few moments to answer the following questions. ALL information you provide here is strictly confidential and will be kept confidential in the Springfield office of the PVPC. If you have questions, please contact Ted Harvey at (413) 781-6045 or tharvey@pvpc.org.

Thank you for taking the time to complete this survey.
Sign in to Google to save your progress. Learn more
Full Name of Owner(s) *
Mailing Address of Owner(s) (include City, State, Zip) *
Full Name of Business *
Physical Address of Business (include City, State, Zip) or "Same" if the business is located at the above address *
Telephone (best one to contact you if you have multiple phone numbers) *
Email (best one to contact you if you have multiple email addresses) *
Was your business in operation prior to January 1, 2019 *
How many employees (including yourself and any other owners) does your business have? *
Has your household/business income decreased significantly over the last 8 weeks due to COVID-19? *
What type of for-profit organization type is your business? (check all that apply) *
Required
Is your business classified as any of the following? (check all that apply) *
Required
Is there anything else that you would like us to know about you/your business? Do you have any comments about this proposed use of grant funds for microenterprise assisstance? Do you have any other information, comments, or concerns?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms