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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 />No work still since the end of March from my main employer <br />(American Tobacco/ Capital Broadcasting / Rocky Mt. Mills) hav e yet <br />to reopen and with the increase of cases, they do not plan to reopen <br />anytime soon. I would normally be trav eling this entire year back and <br />forth to NY in addition to my jobs here. This has also ceased. <br />Have you applied for <br />unemployment <br />benefits? <br />Yes <br />Have you been <br />approved for <br />benefits? <br />Yes, I was approv ed <br />Grant amount <br />requested: <br />600 <br />How do you intend to <br />use the grant, if <br />awarded? <br />To pay rent, bills, and purchase food. <br />How else may we <br />help you right now? <br />n/a <br />DocuSign Envelope ID: 69D7B227-F26C-47BB-8C79-D79E31C650F5