Case Worker Interview
Small Business Resilience and Recovery Program
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Email *
Business Name *
Owner/CEO/Director Name
Chamber Affiliation(s)
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Phone number *
Business Number
Business Description *
How Many Employees before COVID-19?   *
How Many Employees after?   *
Have you been able to conduct business since the beginning if the pandemic and/or shelter in place order? *
If yes, how has your business conducted business during the onset of this pandemic?
Did you receive any government or other loans since the beginning of the pandemic? *
If yes, please outline them
If no, did you apply?
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If no, are you interested in applying for loans, especially forgivable loans?
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 What are your immediate needs? *
Is there any other assistance requested? *
We'd like to arrange a meeting with a consultant. May we proceed with arranging the meeting?   *
Please give me three dates and times over the next week when you will be available?  Initially, we may need up to one hour.    
We will contact the consultant to find out when he/she is available to meet with you.  Can you participate in a Zoom meeting?  If not, you will have a telephone meeting.  However, if you would like to have a Zoom meeting, We can help you be ready for it prior to your time to meet with the consultant.
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