MBDA CARES Grant and Loan Guide Questionnaire
MBDA CARES was launched to support any minority-owned business or small business that has experienced disruption due to COVID-19. Please complete this short questionnaire to receive a FREE COVID-19 Grant & Loan Program Guide. Thank you in advance for your feedback.
Owner's Name
*
First Name
Last Name
Owner's Email Address
*
example@example.com
Owner's Cellphone Number
*
Company Name
*
Company Address
*
Company Phone Number
*
Select the response that describes your business ownership.
*
Ethnic Minority
Non-Ethnic Minority
Neither
Is your business located in a rural or low-income area?
Rural Area
Low-Income Area
Neither
Has your company been impacted by COVID-19?
*
Yes
No
Please briefly describe how your company has been impacted.
Are you interested in receiving COVID-19 related information, education or training? Check all that apply.
*
Information
Education
Training
No, I am not interested in receiving COVID-19 related information, education or training.
Can our business consultant follow up with you to learn more about your company, how it has been impacted by the pandemic and how we can further assist you?
Yes, by phone
Yes, by email
No
Submit
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