Disclosure & Agreement:
By signing below, I agree that I have submitted this application in good faith and my submission fits the eligibility requirements set for this grant. Further, I indicate that I understand and agree to abide by the rules, guidelines and requirements of the grant. I also indicate by signing below that I understand incomplete applications and/or the submission of false information may result in my application being denied. Further, I understand that I may be barred from future funding opportunities
made available by American Humane Association should I falsify any information on my application. Additionally, my signature indicates that I understand funding is limited and therefore only select applicants will receive grant funding. Finally, by signing below, I indicate that I understand American Humane Association will use selected cases/grant awards for fundraising purposes and that I give the organization, and it’s employee, officers, directors or representatives the authority to do so.