Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Eligibility Information - Step 1 of 2Name *FirstLastLayoutEmail *Phone *Legal company name *Company website *LayoutFull-time W2 employees in 2021 *Part-time W2 employees in 2021 *Every business was impacted. Check any of the following that delayed, disrupted or negatively changed your business as a result of Covid, even if it was minor. *Full shutdownsPartial shutdownsSupply chain interruptionsInability to access equipmentLimited capacity to operateInability to work with your vendorsReduction in services or goods offered to your customersCut down in your hours of operationShifting hours to increase sanitation of your facilityChallenges finding and retaining employees OtherHow did you hear about us?RadioSiriusXM radioBank referralOnline searchFriend or colleagueDigital adPodcastRefer & earnTVSocial mediaNextLayoutFull-time W2 employees in 2019 *Full-time W2 employees in 2020 *Part-time W2 employees in 2019 *Part-time W2 employees in 2020 *Check any and all of the quarters that your business was impacted by COVID. *2020 Q12020 Q22020 Q32020 Q42021 Q12021 Q22021 Q3Describe how COVID has negatively impacted the business or changed how it operates since 2019. Be as descriptive as possible.Enter how COVID impacted your business Does any individual own 51% or more of this business? *Yes NoDoes the business offer healthcare to employees? *Yes NoHas the business accepted PPP funds, if so, which round? *PPP Round 1PPP Round 2BothNot applicableWhat was your PPP Round 1 disbursement amount?What was your PPP Round 1 payment disbursement date? *Has your PPP Round 1 loan been forgiven? *YesNoPendingDid the business use a PEO (professional employer organization) as a payroll provider in 2020 or 2021? *YesNoIf you're not sure, select no Back To Eligibility inofrmationSubmit