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Emergency Solutions Grant Program Application <br /> for Louisville Small Businesses Impacted by the COVID-19 Pandemic <br /> <br /> <br /> <br />Number of current employees or number anticipated through April 30, 2020: <br />• Full-time: <br />• Part-time: <br />• Total: <br />Based on the Governor’s Executive Orders, was your business (select one): <br />• Defined as non-critical and forced to close for the Order duration <br />• Defined as non-critical and shifted to online only orders or offerings <br />• Defined as critical but must restrict operations (offer only take-out/delivery, etc.) <br />• Defined as critical and allowed to operate while implementing remote work or changes <br />to work places for social distancing/sanitizing <br />• Other, please describe <br />Please tell us more about the specific impacts your business has experienced due to the COVID- <br />19 pandemic. (check all that apply) <br />• Business closure <br />• Reduced hours of operation <br />• Employee layoffs/furloughs <br />• Revenue decline <br />• Increased operating costs (i.e. employee paid leave) <br />• Restricted access to capital to address increased costs <br />• Inability to serve customers <br />• Decreased customers <br />• Inability to respond to home-delivery requests <br />• Interrupted supply or delivery from vendors <br />• Employee absenteeism <br />• Lack of rent deferral or abatement <br />• Utilization of reserves <br />Please describe your plans to stabilize and continue your business during and after the Stay at <br />Home Order. <br />What was the percentage change in your revenue between March 2019 and March 2020? <br />How would your business anticipate using grant funds? (check all that apply) <br />• Rent/mortgage payment <br />• Employee support (salaries, insurance, paid leave) <br />• Utilities <br />• Purchase of COVID-19 supplies for protection/cleaning <br />• Purchase of supplies to offer alternative services (curbside pick-up, delivery)