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COVID-19 Impact Survey-Resident
Shelburne Residents
Do you rent or own your residence in Shelburne?
How many adults in your household?
How many children in your household? Less than 18 years of age.
Are you considered an essential worker? (For example health care, grocery, municipal, sanitation etc.)
If you are an essential worker, do you require child care?
If you are not considered an essential worker, do you need childcare once the stay at home order expires on May 15, 2020?
Number of family members employed in Shelburne prior to COVID-19 pandemic?0
Number of family members employed in Shelburne currently furloughed or laid off?
Number of family members employed outside of Shelburne prior to the COVID-19 Pandemic?
Number of family members employed outside of Shelburne currently furloughed or laid off?
If you lost your job because of the COVID-19 crisis, have you filed for unemployment?
Do you need assistance filling for unemployment?
Do you anticipate needing additional financial assistance to pay for essential living expenses such as food, medicine, shelter, utilities etc.?
What recommendations do you have for the Town of Shelburne to provide financial relief for its residents in need?
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