Skokie ARPA Local Service Agency Support Program - Step 1

Introduction

In March 2021, The American Rescue Plan Act (ARPA) was signed into law by the president. An estimated $700,000 in funding is available to support local service agencies that help Skokie residents in need. Each eligible agency may be eligible to receive up to $25,000 in funding support to offset the costs related to COVID-19.

If your service agency supports Skokie residents and continues to be negatively impacted by COVID-19, please consider completing the Step 1 application for the Skokie Local Service Agency Assistance Program below.

If you previously received ARPA funding assistance from the Village of Skokie, your business will not be eligible for this round in hopes to provide opportunities to other businesses in need.

Step 1 applications received by Friday, September 20, 2024, at 11:59 p.m. will be considered for Step 2 eligibility. Step 2 application scoring will include completeness of the Step 1 application, follow-up documentation, and responsiveness by the local service agency. Once this survey is completed, you will be contacted by Village staff. If you have any questions, please email justin.malone@skokie.org .

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* 1. My service agency has been negatively impacted by COVID-19 financially.

Yes

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* 2. My service agency is in good standing with Village of Skokie laws, regulations, and/or fees.

Yes

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* 3. My business began operating prior to March 11, 2021.

Yes

Note: If a business began operations on or after March 11, 2021, it may be considered on a case-by-case basis as long as funding is available.

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* 4. A grant up to $25,000 will help my service agency (recover from a shutdown/remain open/reopen) in accordance with State and local guidelines.

Yes

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* 5. Service agency size (number of employees) on March 11, 2021:

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* 6. Business City, State, ZIP Code

Skokie, IL 60076

Skokie, IL 60077

Evanston, IL 60203

Other (City, State, Zip)

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* 7. Service agency category:

Current Skokie CDBG grantee

Not-for-profit organization

Childcare center

Other (please specify)

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* 8. Business Information

Services Provided

Legal Name of Business

Business Address Number and Street

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* 9. Service agency authorize representative contact information

Name

Email Address

Phone Number

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* 10. As the abovementioned service agency representative, I certify that I am able to provide critical agency information which may include, but not be limited to, service agency DUNS (Dun and Bradstreet) Number in Step 2 of the application process.

Yes

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* 11. Service agency expenses that I may request to be reimbursed with proper documentation, such as expense reports/receipts, payroll reports, canceled checks, my business lease, a delinquent rent summary from my landlord, revenue loss summary, etc. (check all that apply):

Rent or mortgage payments

Payroll

Personal Protective Equipment (PPE) (masks, gloves, sanitizers, sneeze guards, partitions, etc.)

Other (please specify)

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* 12. Estimated grant amount to be requested (up to $25,000):

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* 13. COVID-related grants/loans for which I have applied since March 2020 (check all that apply):

Paycheck Protection Program (PPP)

Economic Injury Disaster Loan (EIDL)

Business Interruption Grants (BIG) Program

Other grants/loans (please specify)

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* 14. COVID-related grants/loans for which I have applied since March 2020 (check all that apply):

I was awarded funding for one or more applications selected in this question

I was not awarded funding for any of the applications selected in this question

I have not applied for grants/loans

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* 15. Insurance claims:

Yes, I filed a claim and received funding

Yes, I filed a claim but did not receive funding

No, I did not file a claim

Note: Other grants/loans/insurance payments may include other Federal, State, local, not-for-profit, private, and/or charitable funding sources. If you applied for other grants/loans, or had an insurance claim, additional information will be requested during Step 2 of the application process, including grant/loan/insurance provider, contact information, amount requested/received, etc.

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* 16. Other information relevant to this application (optional):

For more information regarding the ARPA Local Service Agency Assistance Program, please contact Justin Malone, Neighborhood & Housing Coordinator, at justin.malone@skokie.org