Helping Hand Small Business Grant Application Name of Business * Owner of Business * Phone * Email * Business Address (must be located in Wayne Township, Marion County, Indiana) * Year Business established (must be 2018 or earlier) * Articles of Incorporation as registered with the Secretary of State's Office * Drop a file here or click to upload Choose File Maximum upload size: 104.86MB COVID Impact Statement * In 3-5 sentences explain the function of your business and how it has been negatively impacted by the Marion County Public Health Department (MCPHD) orders. What is your projected loss of income from March 2020 to December 2020? * Additional documentation may be requested. To the best of your knowledge will you be in business and in the same location for the next 30 days? * Yes No If you are human, leave this field blank. Submit