High Country Business Resiliency Disaster Grant
Eligible Businesses located in Watauga, Ashe, and Avery Counties that have been impacted by the effects of Hurricane Helene
Business Name:
*
Required
Name of Business Owner(s):
*
Required
Which county is your business located?
*
Watauga
Ashe
Avery
Business Address (Physical Location)
*
Street Address Line 1
Street Address Line 2
City
State
Postal/Zip Code
Business Mailing Address (IF DIFFERENT from Physical Address)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Average monthly employee count?
*
0 - 10
10 - 25
25 - 100
100 - 500
+500
Average October Payroll
*
Gross Taxable (Medicare) Wages over last 3 years (2021-23)
Average Annual Payroll
*
Gross Taxable (Medicare) Wages over last 3 years (2021-23)
Average October Revenue
*
Net revenue for October over past 3 years (2021-23)
Average Q2 Revenue
*
Net revenue average for Q2 (Oct-Dec) over past 3 years (2021-23)
Current October Revenue Projection
*
Net revenue projection for October 2024
What represents your most important current need for assistance?
*
Lost October Revenues
Lost Goods/Supplies
Other
Have you made any of the following staff adjustments? (select all that apply)
*
Reduced staff hours
Furloughed staff
Lay-off staff
Due to storm impact, we've had to add to staff or pay more hours than normal.
We have made no staffing adjustments
Has your business received other sources of Hurricane Helene related relief?
*
(Insurance, FEMA Assistance, SBA Loan, Grant, or Loan from Non-Government Sources) If yes, what kind and how much financial assistance did you receive?
Are you currently open or closed for business?
*
We are currently open
We are currently closed
Without assistance, will your business be able to continue?
*
Yes, we will continue
No, we will not continue
Is there anything you would like to add about your current situation?
Limit: 750 words
0/750
By submitting this survey, you acknowledge that you have provided the required information turthfully and to the best of your ability. Additional information may be required as grant awards are considered.
Submit Survey
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