By signing this application requesting a grant from the Coast Guard Foundation & Coast Guard Chief Petty Officers Association, I hereby declare that the information contained in this application is accurate to the best of my knowledge, and understand that any misstatement of fact may be grounds for denial of this request.
I expressly waive and hold harmless the Coast Guard Foundation and Coast Guard Chief Petty Officers Association and any Coast Guard representative who may be acting on behalf of this Fund, from any and all claims that might arise as a result of this application.
I understand that the Coast Guard Foundation and Coast Guard Chief Petty Officers Association is an independent private entity, not part of the U.S. Government. This application form, therefore, is not subject to the Privacy Act (5 U.S.C. 552a). This form, with attachments, will be kept on file for a period of five (5) years.
I understand that this Fund exists to help meet the basic needs of those impacted by 2020 Disasters. Those needs include but are not limited to:
b. Homeowner’s / Renter’s Insurance Deductibles
d. Emergency Travel
I understand that grants will not be considered for (and are not limited to) the following:
a. Credit card expenses
b. Legal expenses
c. Business debts
d. Late fees or irresponsible financial acts
e. School expenses
I have read, understand and agree to the above requirements for receipt of a monetary grant from the Coast Guard Foundation and Coast Guard Chief Petty Officers Association.