1. Submit this survey again each time the status or need changes for your organization.

This is not an application for funding. The Jennings County COVID-19 Relief  Fund will send an official application as appropriate.

Question Title

* 1. Agency

Question Title

* 2. Best Contact RIGHT NOW—

Question Title

* 3. What is your agency's "open" status?

Question Title

* 4. What programs / services does your agency provide in Jennings County?

Question Title

* 5. Who do you serve? What is your target population / demographics etc.

Question Title

* 6. What is the current impact of the COVID-19 Pandemic on  your clients?

Question Title

* 7. What is the current impact of the COVID-19 Pandemic on  your agency? 

Question Title

* 8. What are the emerging needs of your clients due to the COVID-19 Pandemic?

Question Title

* 9. What are the emerging needs of your agency due to the COVID-19 Pandemic?

Question Title

* 10. What else do you want us to know?

T