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2. Program Guidelines
   Click here to view the program guidelines

   Applications are due by 5 PM on Sunday, July 24, 2022.

4. Eligibility*

   Has your business applied for or is in the process of applying for the State of Vermont Economic Recovery Bridge Program?

   1. Yes
   2. No
6. If your business is somehow ineligible for the Economic Bridge Grant (there may be some exceptions), please explain why and continue.
8. Name of Business*
10. Address of Business*
12. Contact Name*
13. Phone*
14. Email*
16. Type of Business*
17. Years doing business in Winooski*
19. Total number of employees *
20. Total number of employees who live in Winooski*
22. Is your business a woman-owned business?

    1. Yes
    2. No
24. Is your business a Certified WBE (Women Business Enterprise)?

    Points will not be removed if your business is not certified, only added. Learn more at https://www.mwbe-enterprises.com

    1. Yes
    2. No
26. Is your business a minority-owned business?

    1. Yes
    2. No
28. Is your business a Certified MBE (Minority Business Enterprise)?

    Points will not be removed if your business is not certified, only added. Learn more at https://www.mwbe-enterprises.com

    1. Yes
    2. No
30. Is your business a LGBTQIA+ owned business?

    1. Yes
    2. No
32. Is your business a Certified LGBTQIA+ Business?

    Points will not be removed if your business is not certified, only added. Learn more at https://www.nglcc.org/get-certified

    1. Yes
    2. No
34. There are four categories of eligible activities- check all that apply:*

    1. Making business commercial lease payments
    2. Competitive pay and/or bonuses to employees working in restaurants, retail and other front-line customer service work that puts them at higher risk of exposure to COVID-19
    3. Technical support/assistance to modernize businesses’ online presence, sales, social media marketing, etc.
    4. Improvement of building or physical facilities/equipment to address code violations, especially those that improve health and safety conditions.
36. Amount of Grant Request (limit $10,000) *
38. Are you interested in receiving funds if only a partial award is available?*

    1. Yes
    2. No
40. Please include a detailed description of how you will use the money (attach copies of lease agreements, quotes, invoices). Please note - if you prefer to provide a verbal response to this question, simply type 'verbal' in the answer field. We will contact you within one business day to schedule!*
42. Please include a description of your business needs:*
44. Please include a description of your financial performance pre-pandemic and during the pandemic:*
46. Please include a description of the impacts COVID-19 has had on your business and your industry:*
48. Optional: Describe why the business is requesting the grant and how the funds will be used. The narrative should also contain a brief history of the business, any changes to your business model due to the pandemic, and other information that will help us to better understand your business:
50. By checking 'Yes', I agree to release all of the above information to the City of Winooski COVID-19 Recovery Business Grant Evaluation Committee, City of Winooski Staff, and the Winooski City Council.

    1. Yes
    2. No
52. Required Attachments*
    • Signed/dated copies of business tax returns from 2019 and 2020 or 2021
54. Optional Attachments
    • Lease agreements, quotes, invoices, other.
Leave This Blank:


56. 1. Receive an email copy of this form.
57. Email address

    This field is not part of the form submission.

58. Submit

* indicates a required field