GWHCC SBMGP Form

GWHCC Small Business Micro Grant Program Overview and Guidelines

Thank you for visiting the small business micro grant program.
The Greater Washington Hispanic Chamber of Commerce is thrilled to announce that for the very first time we will be providing a micro grant opportunity to our active members.

The GWHCC Small Business Micro Grant Program aims to aid small businesses affected by COVID-19 by providing immediate relief in the form of a micro-grant award between $500-$1,000.

Our goal is to provide funds to assist in keeping the doors open through and beyond COVID-19. A small micro-grant may go a long way when a business is in need.

The funds for this program are limited and the following information must be provided:
1. Must be in business as of August 1, 2019
2. Must be able to share the last 90 days of financials demonstrating a 15-20% or more loss in revenue due to COVID-19;
3. Must have all relevant certifications up-to-date
4. Does not have more than 10 full time employees
5. Does not make more than $1 million in gross revenue
6. Documentation of expenses and forecast of funds will be required for grant to be awarded
7. At least two consultations with a GWHCC team member to review financials and business plan must take place
8. A site visit must take place 6 months after the award has been granted
This microgrant may be used to fund creative or simple ideas to help a small business respond to the impact COVID-19.

Grant proposals should support projects, equipment/supplies, or other needs that have an immediate impact on employees, production, or serving customers, clients, and vendors.

Applicants must be active GWHCC members with no membership dues pending.

Grants are one time only and awarded providing the applicant meets eligibility and award criteria.

Eligible applications will be considered via a lottery system after the application period closes or until funds are exhausted.
Applicant Information
Name of Applicant *

Prefix First Name Middle Name Last Name
Applying as *

Sole Proprietor Partnership Corporation
How many full time employees do you have? FT=an employee with 30 hours or more.
Your EIN or Social Security Number/ITIN *
Business Information *

Business Name

Street Address

City State / Province

Postal / Zip Code
Additional business address location(s): *
Industry type *
Business type *
E-mail of Applicant *
Email Validator *
Best Phone Number of Applicant *

Area Code Phone Number
Business Website

Business Assessment and Forecast Plan
Please provide a brief overview of the small business. Include a summary about the business including information about products and/or services, operation hours and days, and the target markets it serves. *
Please describe the impact that COVID-19 has caused. *
Is the business currently operating? *

Yes No
If no, what date did business close?
If yes, Please provide a brief description of the plan to operate during the next six months. *
If no, Please provide a brief description of the plan to reopen within the next six months. *
Will you reopen in the same state your business is/was in?

Insurance and Financial Section
Do you have insurance that will help to cover your short-term losses from COVID-19 (coronavirus)? If yes, please complete table with the appropriate options. *

Yes No Unsure

Insurance and Financial Information Table 1 *

Coverage

Deductible Amount $

Claim Submitted

Funds Received

Amount Received $

*Property Insurance

Commercial General Liability Insurance

Directors/Officers Insurance

Errors & Omissions Coverage

Workers Compensation Insurance

Other

*Standard property insurance policies usually include two types of valuable coverage for disruptions like the coronavirus. Business interruption coverage insures against losses resulting when the policyholder’s operations are directly affected; and contingent business interruption coverage insures against the risk of indirect losses, such as when suppliers or customers are affected.

Insurance and Financial Information Table 2. These are Payment Deferments that are in process or completed. *

Response

12/19 or 1/20

COVID-19 Impacted Cash Flow (1 month)

Rent Deferred for Business Lease

Accounts Payable Renegotiated/Extended

Deferred Business Installment Debt

Deferred Business Credit Card Debt

Any "other" Business Deferments

Cash Flow needed for 6 months (Balance is multiplied x -6) *
Sources to cover 6 month cash flow gap. *

Expenses Modified or In Process of Modification *

Monthly Budget Projected

Total Rent Deferred

Accounts Payable Extended

Business Debt Payments Deferred

Available Credit in Lines Open

Insurance Benefits Expected

Any Other Deferred Expenses

Business Cash Available

Personal Savings

Other

Total Available

Working Capital GAP/Request

Working Capital Gap/Request is the Cash flow needed for six months take away from all modified expenses.
Calculator

Grant Funds and Documentation
If received, how will you use the Grant Funds *

Working Capital Rent/Lease Costs Employee Support
Please include receipts and documentation of the costs that the grant will cover.

For the documentation please include the following
1. Documentation of transactions over the last 90 days
2. Bank Statements for at least the last three months.
Upload documentation of transactions over the last 90 days *

Upload Documentation Files

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Upload bank Statements for at least the last three months *

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Upload a copy of your active business license. *

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Upload a Letter of Intent *

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GWHCC Small Business Micro Grant Program Overview and Guidelines

Applicant Information

Business Assessment and Forecast Plan

Insurance and Financial Section

Grant Funds and Documentation

Application Demographic Details