Community Development Corporation
Assistance Inquiry Form
Business Name:
Primary Contact:
Contact’s Phone Number & email:
Requested Assistance Amount: $
In the following table, please list all other County, State, and/or Federal programs to
which the business has applied for Covid-related financial assistance:
Date of
Amount of
Current Status:
Granted, Denied,
Pending, Other
Please provide a brief description of the reason for the requested assistance
and how the monies would be utilized (Provide additional pages as needed.):
This form and any additional materials you choose to submit should be emailed to or mailed to:
Community Development Corporation
Attn: Wayne DeLong
10855 Creek Way
Zionsville, IN 46077