By signing below, the Applicant understands and acknowledges that the Foundation may require additional information in determining the amount and duration of support it may be able to provide. Applicant acknowledges that the distribution of any support will be pursuant to the vision and mission of the Foundation, based upon the contents of the Foundation’s governing guidelines and upon approval by its Board of Directors.

The Applicant understands that in order to maximize the benefit provided, the Foundation may be required to release information contained in this Application to various sources for purposes of advertising, soliciting donations and coordinating fundraisers. The Applicant hereby consents to the release of any information the Foundation obtains through this Application or through any other source and agrees to indemnify and hold the Foundation harmless for the content of that information.