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COVID-19 Grant Application Form Template

Streamline Your COVID-19 Business Funding Applications

If you're a small business owner struggling during the pandemic, the right support can make all the difference. This COVID-19 Grant Application Form Template helps you efficiently collect the necessary information to access funding, ensuring your application stands out. Utilize this form to facilitate easy submission, improve your chances of approval, and provide a clear overview of your business's needs-all in a format that's accessible on any device. Experience the convenience of our user-friendly design and take the first step towards securing vital financial support.

Application date
Organization legal name
Tax ID/EIN or registration number
Primary contact full name
Primary contact email
Primary contact phone
Organization type
Please Specify:
Is your organization currently operating in the jurisdiction covered by this grant?
Yes
No
Was the organization in operation before March 1, 2020?
Yes
No
Which COVID-19 impact areas apply to your situation?
Please Specify:
Amount requested (specify currency)
Briefly describe how the requested funds will be used
Priority use categories for the requested funds
Payroll
Rent or utilities
PPE and safety measures
Technology and remote work tools
Program or service delivery
Medical supplies
Debt obligations
Other
Please Specify:
When do you expect to spend the awarded funds?
Within 30 days
31-60 days
61-90 days
Over 90 days
Unsure
What other funding sources related to COVID-19 relief are secured or pending?
None
Federal relief
State or local relief
Private foundation grant
Corporate grant
Loans or line of credit
Insurance proceeds
Crowdfunding or donations
Other
Please Specify:
Estimated number of people served or jobs retained
Primary service area (city, county, or region)
Who are the primary beneficiaries of this funding?
Employees or contractors
Patients or clients
Students or educators
Local residents
Small businesses or vendors
Vulnerable or high-risk populations
Arts and culture participants
Other
Please Specify:
I consent to the collection and processing of the information provided for the purpose of assessing this grant application.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
Typed signature (enter full legal name)
Signature date
I certify that the information provided is true and complete to the best of my knowledge and I understand it may be verified.
True
False
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When to use this form

Use this form when you need to collect urgent relief requests from people, nonprofits, or small businesses affected by the pandemic. It helps you verify eligibility, understand need, and compare requests so you can award funds quickly and fairly. City agencies can triage rent and utility aid; foundations can track program impact; campuses can support students facing job loss. If you also run longer-term funding cycles, the Grant program application form keeps criteria consistent. To attract co-funders while you review, pair this with a Sponsor donation form to accept pledges.

Must Ask COVID-19 Grant Application Questions

  1. What COVID-19 hardship did you experience, and when did it begin?

    Specific impacts and dates help you confirm that the request is tied to the crisis and gauge urgency. Clear timelines also prevent duplicate or ineligible claims.

  2. How much funding are you requesting, and how will you use it? Provide a line-item budget.

    A detailed budget shows exactly where funds will go, which improves fairness and auditability. It also lets reviewers compare requests on the same terms.

  3. Do you meet our eligibility criteria (location, income or revenue, sector), and what documents can you upload?

    Stating criteria and collecting proof reduces back-and-forth and speeds decisions. This aligns with the Grant application form so you can apply standards across programs.

  4. What other assistance have you received or applied for, and what gap remains?

    Knowing other aid prevents overfunding and focuses your grant on unmet needs. It also supports coordination with partners.

  5. Who will benefit from this grant, and what outcomes will you deliver in the next 6090 days?

    Near-term outcomes and beneficiary details make impact measurable. This helps you prioritize projects that convert funds into fast, visible relief.

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