Thank you for your interest regarding the COVID-19 PA STATEWIDE GRANT PROGRAM recently announced by Governor Wolf. We at WORC are one of the 17-member CDFIs that make up the PA CDFI Network and will be administering this program.  Please note that this is not the application form, but an assessment of your overall business needs so that WORC may help you with our wide range of services.

You will be able to access the application via our website, http://worc-pa.com, or at pabusinessgrants.com, through which businesses can learn more about the program, the CDFIs deploying the grants, and select WORC as their lender. As of July 14, 2020 first round applications have been closed. The second round will open August 4, 2020. Again, this survey is to connect with WORC for additional business and financial services and is not the grant application.

First, let us tell you about WORC:
  • Women's Opportunities Resource Center (WORC) mission is to promote social and economic self-sufficiency primarily for economically disadvantaged women and their families--men are welcome as well--ultimately, all business owners can apply to this program through WORC. WORC provides training, individual business assistance, incentive savings program, loans, and access to business and financial resources.

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* 1. We expect that the following documentation will be required for the grant application in electronic form. Please click the forms below that you have readily available in electronic form:

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* 2. Do you have the capacity to upload documents electronically without help?

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* 3. What is the Legal Business Name:

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* 4. What is the physical location of your business?

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* 6. Please describe your business in further detail (ex. auto mechanic, ice cream store, wholesale bakery, law firm, etc.):

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* 7. What is your overall household income?:

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* 8. How many years has your business been in operation? 

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* 9. What are your business yearly revenues (based on most recent tax returns/numbers)?:

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* 10. Please provide your contact information:

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* 11. Please provide your business website if you have one:

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* 12. Does your business have E-Commerce capability:

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* 13. Is your business ownership 51% or more:

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* 14. Is your business ownership at least 51% or more women owned?:

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* 15. Was your business allowed to open anytime during the period of March 16-June 5, 2020?:

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* 16. If you were partially open, please explain in further detail. If you were legally allowed to open or partially open but decided not to open, please explain the reason.

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* 17. Were you profitable or roughly break-even before COVID-19?:

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* 18. For Start-Ups and New Ventures (businesses that began operating after January 1, 2020)

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* 19. How has COVID-19 negatively affected your business?

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* 20. What was your loss of revenue due to the COVID-19 pandemic?

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* 21. Are you able to meet your business and/or personal expenses?

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* 22. Based on today's circumstances, what dollar amount are you short on your current combined monthly expenses, if any?

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* 23. Please describe your plan for re-opening or pivoting your business:

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* 24. Please list any other funds that you have received during the pandemic:

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* 25. Please provide the amount(s) that you have received on any of the funds clicked on the above question #23

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* 26. If you received funds to help your business through the pandemic, how did you spend the funds? Please explain by fund type. Include if you have any funds remaining and amount? 
Example: If you applied for an Emergency Disaster Loan to cover May and June rents, you cannot apply for this loan to also cover May and June rents)

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* 27. How does this upcoming request for a PA CARES Grant and use of funds differ from previous funds?
(Please remember you cannot request funds for the same expenses.)

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* 28. How much additional funding - and for what materials - do you think you will need to successfully re-open and/or pivot your business?

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* 29. Please provide the amounts of the funding needed for any of the items checked in above question #26:

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* 30. How would you plan to spend the additional grant funds for COVID-19 related expenditures and/or past due expenses:

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* 31. Do you have a bookkeeping system?

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* 32. Do you have an accountant?

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* 33. Please share your accountant's contact information if willing. If not, simply skip the question:

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* 34. Basic Financial Analysis: Cash vs. Money Owed

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* 35. Basic Financial Analysis: P&L Pre-COVID Crisis

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* 36. Basic Financial Analysis: P&L During COVID Crisis

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* 37. WORC is able to provide additional financing assistance. This includes microloans ranging from $1,000 to $50,000 - please note, any new SBA funded loans issued by September 30, 2020 are eligible to have six months of interest and principal paid for by the SBA. Please check off any categories that you are interested in:

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* 38. WORC also provides business assistance to help businesses grow, increase their profits, and tighten up their operations and processes. Please check below, any assistance your business may need.

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* 39. Are you an existing WORC client?

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* 40. If you are an existing WORC client, what type of assistance did you receive from WORC?

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* 41. If you are not an existing WORC client, how did you hear about us?

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