Application for Business Assistance Recognizing the hardships imposed on our businesses by the COVID-19 Virus, we are coordinating volunteer advice and services for our local businesses to assist them in navigating these difficult times. Date and Time Format: M/d/yyyy Name Block - Full Title First Name Last Name Suffix Business Name * Business Type/Industry * Approximate # of Full Time Employees * Approximate # of Part Time Employees * Specific questions or assistance needed * Is there a related or affiliated business? * Contact Information including phone and direct email *