AVMF COVID-19 Disaster Relief Application

COVID-19 Disaster Relief Grant Program for Veterinary Technicians/Nurses and Veterinary Assistants
Purpose:
The American Veterinary Medical Foundation (AVMF) COVID-19 Disaster Relief Grants for Veterinary Technicians/Nurses and Veterinary Assistants sponsored by Hill’s Pet Nutrition, Zoetis and the National Association of Veterinary Technicians in America (NAVTA) are for the purpose of assisting those who have experienced financial hardship due to COVID-19. The grants are intended to cover basic necessities needed due to the impact of the COVID-9 pandemic.

The AVMF does not provide financial assistance for the repair or replacement of a personal dwelling nor items that would normally be covered under the individual’s homeowner insurance policies. These grants are intended to cover expenses incurred due to the need for basic necessities.

Grant amount:
$500 will be issued per grantee for out-of-pocket expenses incurred due to financial hardship from COVID-19.
Limited funds are currently available and will be approved on a first come, first served basis for applications that meet eligibility criteria.

Criteria for Eligibility:
1. Must be a current veterinary technician/nurse or veterinary assistant.

2. Must have incurred financial hardship and the need for basic necessities as a result of COVID-19.

3. Applicant may not have previously received any disaster relief grant from the AVMF for the same disaster.

4. Only one application may be submitted per applicant. If multiple applicants within the same hospital have been impacted by the disaster, each must submit a separate application.
Current officers, directors, and employees of the AVMF or AVMA, and their spouses, dependent children and parents are not eligible to apply for or receive disaster grants under this program.

Application Procedure:
The application must be completed in its entirety and emailed to disastergrant@avma.org.
You will be contacted if your application is not complete. No decision will be reached on an application until all requested information has been received.
Checks will be payable to the individual named in your application that meets the criteria.

Application Approval:
COVID-19 Disaster Relief Grant applications received by the AVMF will be reviewed and applicant will be notified within 7 days of application.
The final decision regarding the number, timing, and amount of grants awarded under this program is solely within the discretion of the AVMF Board of Directors.

Deadline:
APPLICATIONS must be received no later than 3 months after restrictions due to COVID-19 have been lifted.
Applicant Information
Name of Recipient*
First NameLast Name
Home Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Email*
Enter the contact persons email address
Phone Number*
Area CodePhone Number
Veterinary Hospital/Business Name:*
Address*
Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Primary Email*
example@example.com
Primary Phone Number*
Area CodePhone Number
Have you previously received any award from the AVMF?:*
YesNo
If yes, please indicate type and date of the award:
Statement of Eligibility*
Please provide a brief narrative describing the financial hardship experienced due to COVID-19 and how it has deprived you of short-term access to basic personal necessities.0/75
Applicant Assurance:
By typing or signing my name below, I certify the statements herein are true, complete and accurate to the best of my knowledge, and that I have a valid need for the funds. I am aware that any false, fictitious, or fraudulent statements or claims are grounds for an immediate refusal of my application and may subject me to criminal or civil liability. I agree to accept responsibility for providing any personal reports if a grant is awarded as a result of this application. I understand that the granting of emergency assistance is neither a right nor an entitlement and that the AVMF Board of Directors shall have the sole discretion to determine whether I qualify for assistance.
I certify that I have experienced financial hardship as a result of COVID-19.*
YesNo
Signature*
Clear
Date*
MonthDayYear
Date
Please verify that you are human*
Should be Empty:

COVID-19 Disaster Relief Grant Program for Veterinary Technicians/Nurses and Veterinary Assistants

Applicant Information