GO Hire Grant Application (Recovery Roadmap) Survey

The City of Charlottesville’s Office of Economic Development (OED) has adapted the GO Hire program as part of their Recovery Roadmap initiative. The workforce-based grant is designed to assist City businesses that are growing and enhancing their workforce.

The GO Hire grant is a reimbursable grant. The GO Hire program targets workforce positions that pay at least $15.00/hour and is intended for entry to mid-level employees. Position must be W-2 employment.

Grant funds can be used for City based businesses hiring a new employee that is a City resident. OED will reimburse 50% of the wages for the initial 8 week hiring period. Employees must be full time employees to be eligible for reimbursement. Grants will be limited to $5,000 per business. The Office of Economic Development reserves the right to make any necessary adjustments or enhancements to the GO Hire program at any time.

This grant can be used in conjunction with the Governor's "Return to Earn" program, as funds are available. More information is located HERE.

Criteria:
• Current City business license and up-to-date on taxes (real estate, business tangible property tax, BPOL).
• Current physical location in the City of Charlottesville (PO Boxes are not acceptable)
• Must be for-profit business or a non-profit organization that is focused on hospitality, tourism, or supporting economic development/business causes.
• Must become a registered vendor with the City of Charlottesville
• Must agree to a follow-up with OED staff in six months

Applications will be evaluated by information provided within this application. Applicants are strongly encouraged to include as much detail as needed to articulate clear answers to help staff process the applications.

The information you are providing is proprietary information provided to retain and develop your business which shall be kept confidential by the City of Charlottesville. This information will be exempt from the Freedom of Information Act pursuant to Virginia Code Section 2.2-3705.6.

Question Title

* 1. Contact Information

Name

Company

Job Title

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number (direct)

Question Title

* 2. Is this business located within the City of Charlottesville?

Yes

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* 3. How long has the business been in operation?

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* 4. Which race best describes the majority business owner? (Please choose only one.)
This information is being requested to help the Office of Economic Development assess the equity of our work and our ability to reach and include a diverse business owner population.

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Prefer not to answer

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* 5. As of today, provide the total number of employees.

Question Title

* 6. New Employee Wage Subsidy (a valid payroll record for each requested employee is required for reimbursement)

Name of Employee

Residential Address of New Employee

Hourly Wage

Number of Hours Worked (per week)

Addtional Benefits (Insurance, PTO, tips, etc.)

Job Title

Question Title

* 7. What skills/abilities are needed for this position?

Question Title

* 8. (Additional) New Employee Wage Subsidy (a valid payroll record for each requested employee is required for reimbursement)

Name of Employee

Residential Address of New Employee

Hourly Wage

Number of Hours Worked (per week)

Addtional Benefits (Insurance, PTO, tips, etc.)

Job Title

Question Title

* 9. What skills/abilities are needed for this position?

Question Title

* 10. Please provide any additional information that may be helpful in reviewing your application.

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* 11. W-9 Submission Information
All businesses will need to submit a completed IRS W-9 form.

Please fill out, ensuring the document is signed under Part II.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 12. City of Charlottesville Business License

Please attach a copy of your 2021 City of Charlottesville Business License.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 13. Would you consider the majority business owner as someone who is socially disadvantaged? (According to the Small Business Administration, socially disadvantaged includes race (Black Americans, Hispanic Americans, Native Americans, Asian Pacific Americans, or Subcontinent Asian Americans). Individuals who are not members of one of the listed designated groups may establish social disadvantaged based on personal experiences of substantial and chronic social disadvantage in American society, not in other countries, which is the result of a distinguishing feature (i.e., race, ethnic origin, gender, physical disability) that has contributed to the social disadvantage.)

Yes

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* 14. I understand that I must submit all the documents required for my business to be considered for this grant. Failure to answer all questions and submit all the documents will be considered an incomplete application. Incomplete applications will not be reviewed.

Yes

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* 15. By selecting below, I acknowledge the following:

I agree my submitted information to be factual and true. I understand I may be asked to produce additional documentation to clarify my submitted answers before a grant decision is made final.

I understand the information I am providing, with the exception of business name, is proprietary information provided to retain and develop my business which shall be kept confidential by the City of Charlottesville. This information will be exempt from the Freedom of Information Act pursuant to Virginia Code Section 2.2-3705.6.

I agree that my business name may be published as a result of submitting this application.

I understand that private business information submitted in this application (other than my business name) will remain confidential.

I agree to meet with a representative of the OED as a follow-up to the grant in six months.

Once you have submitted this application below, please expect to receive a reply from OED in less than 48 hours to discuss your application.

Question Title

* 1. Contact Information

Question Title

* 2. Is this business located within the City of Charlottesville?

Question Title

* 3. How long has the business been in operation?

Question Title

* 4. Which race best describes the majority business owner? (Please choose only one.)This information is being requested to help the Office of Economic Development assess the equity of our work and our ability to reach and include a diverse business owner population.

Question Title

* 5. As of today, provide the total number of employees.

Question Title

* 6. New Employee Wage Subsidy (a valid payroll record for each requested employee is required for reimbursement)

Question Title

* 7. What skills/abilities are needed for this position?

Question Title

* 8. (Additional) New Employee Wage Subsidy (a valid payroll record for each requested employee is required for reimbursement)

Question Title

* 9. What skills/abilities are needed for this position?

Question Title

* 10. Please provide any additional information that may be helpful in reviewing your application.

Question Title

* 11. W-9 Submission InformationAll businesses will need to submit a completed IRS W-9 form.

Question Title

* 12. City of Charlottesville Business License

Question Title

Question Title

* 14. I understand that I must submit all the documents required for my business to be considered for this grant. Failure to answer all questions and submit all the documents will be considered an incomplete application. Incomplete applications will not be reviewed.

Question Title

* 15. By selecting below, I acknowledge the following:

* 4. Which race best describes the majority business owner? (Please choose only one.)
This information is being requested to help the Office of Economic Development assess the equity of our work and our ability to reach and include a diverse business owner population.

* 11. W-9 Submission Information
All businesses will need to submit a completed IRS W-9 form.