CDBG CARES

Madison County CDBG CARES Grant Interest Survey

Madison County is considering applying for a Community Development Block Grant CARES Act (CDBG-CV) grant application to provide grant funds to local small businesses that were impacted by the Coronavirus Pandemic. Grant funds would be made available to eligible small businesses that meet the grant criteria and terms of the program. In order to gauge interest in the program, Madison County is asking potentially interested businesses to fill out the brief survey below. Thank you for your participation!

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* 1. Is your business a for-profit entity? (S-Corp, C-Corp, LLC, or Sole Proprietorship)

Yes

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* 2. Which category best reflects what industry your business is in?

Agriculture

Tourism

Retail

Dining

Professional Services

Manufacturing

Other (please specify)

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* 3. How many employees does your business have?

0-4

5-25

26+

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* 4. How has your business been negatively impacted by the COVID-19 pandemic?

Significant reduction in revenue and/or profit

Mandated closure and/or forced to reduce operating hours

Reduced staff

Significant supply chain disruptions

Rising costs of goods, supplies, inventory, or labor

Other (please specify)

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* 5. Have you received any COVID-19 relief assistance to date? (i.e. Payroll Protection Program, Economic Injury Disaster Loans, Restaurant Revitalization Fund, etc.)

Yes

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* 6. If CDBG-CV relief grant funds were available, how would you plan to utilize the funding to help your business recover from the pandemic?

Expansion of outdoor dining or event space and/or accommodations to allow for better social distancing

Purchase of PPE, touchless point of sale, air filtration equipment, or other equipment directly related to pandemic safety

Direct payroll expenses to allow your business to retain existing employees, bring employees back to work, or create new employment positions

Working capital expenses to alleviate cash flow disruptions caused by the pandemic

Other (please specify)

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* 7. If COVID-19 relief grant funding were available, how much funding would you need to assist your business?

$1 - $20,000

$20,001 - $50,000

$50,001 - $100,000

$100,000+

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* 8. Please leave your contact information below so that we are able to contact you about the grant in the future if we are successful in our application. Survey responses will be kept confidential and we will not use this information to solicit or share with others. Thank you!

Name

Company

Email Address

Phone Number