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Other than your <br />work, what sources <br />of household income <br />do you currently <br />have? <br />Basic construction <br />Have you <br />experienced a <br />decrease in TOTAL <br />HOUSEHOLD <br />income of 30% or <br />more? <br />Yes <br />Please explain how <br />your general <br />livelihood has been <br />impacted by COVID- <br />19. <br />Freelance clients hav e dried up and bartending shifts eliminated from <br />bar/music club closures. <br />Have you applied for <br />unemployment <br />benefits? <br />Yes <br />Have you been <br />approved for <br />benefits? <br />No, I was denied benefits <br />W hy were you <br />denied benefits? <br />Unable to show quarterly income <br />Grant amount <br />requested: <br />600 <br />How do you intend to <br />use the grant, if <br />awarded? <br />Groceries. W ater bill. Power bill. <br />How else may we <br />help you right now? <br />This grant program is a lifesav er. I did not get Federal stimulus either <br />(working on my back taxes). My family has been terrific and <br />supportiv e. And you hav e been terrific and supportiv e. Keeps me <br />mov ing forward! Thank you! <br />DocuSign Envelope ID: 4D8F9D1C-0660-4D95-A6B2-B72EDA1E57A7