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* 1. Company Name

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* 2. Your name and title. 

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* 3. Number of full time employees. 

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* 4. Has your business or company utilized any public resources in the last 18 months ( e.g. SEDA-COG - financing, IMC - LEAN Training)? If so, please explain.

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* 5. Does your business or company have a disaster recovery plan? (natural disasters, structural damages, etc.)

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* 6. How has the COVID-19 impacted your business? Please list any loans and grants received. 

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* 7. Other than COVID-19, what factors do you see impacting your business in the next 6 months? Please explain.

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