Micro-Grant Application Micro-Grant Application Application form for Brunswick Main Street COVID-19 Emergency Micro-Grant Program. I certify that all information in this application is accurate and truly represents my business' current status. I also certify that I am authorized to submit this application on behalf of the applicant business. Applicant Name* First Last Name of individual completing application on behalf of the business named belowBusiness Name*Email* Email address to be contacted if there are further questions about application.Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code If business address is outside the Brunswick Main Street boundaries, majority of the business transactions must be conducted within the Brunswick Main Street boundaries.Phone*Phone number to be contacted if there are further questions about application.FEIN (Federal Employer Identification Number)*Is your business closed due to the COVID-19 pandemic?* Yes No If your business is currently closed, when did it close?If your business is closed, are you generating income from alternative business operations (for example, e-commerce sales, delivery, etc.)?If your business is not closed, at what level are you currently operating?Full Operations50% or more of normal operationsLess than 50% of normal operationsWhat is the greatest challenge facing your business at the moment?*This response is not part of the grant evaluation criteria, Brunswick Main Street is simply collecting information to identify future programming in support of downtown businesses.What do you anticipate being your greatest challenge upon re-opening your business?This response is not part of the grant evaluation criteria, Brunswick Main Street is simply collecting information to identify future programming in support of downtown businesses.Do you plan to re-open when appropriate?* Yes No
