Please complete the application below

Family Name of Applicant*

First NameLast Name

Provide the name of the pet who needs a one-time assistance? *

These funds can NOT be used for:

Examinations
Heartworm testing, Ear Cytologies, Fecal Flotations
Prevention (flea/tick, dewormer, heartworm)
Third Party fees (cremation, Radiologist review, etc)
Microchipping
Vaccinations
Sterlization (spay/neuter)
Boarding

These funds CAN be used for:

Advanced Diagnostics (ex: ultrasound, radiographs, echocardiogram)
Surgeries, including orthopedic

In order to get approved for the Compassion Fund, you must have an estimate from CHEW. If you have not been seen, please call CHEW and schedule an appointment UPLOAD ESTIMATE HERE:*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Are you at least 18 years old?*

YesNo

Is this your first time applying for the CHEW Compassion Fund?*

YesNo

How many people over the age of 18 live in your home?*

How many people under the age of 18 live in your home?*

Marital Status*

Are you currently employed?*

Are any adults (other than you) in your home currently employed?*

What is your combined yearly income?*

How long have you been unemployed?

If unemployed, are you searching for a job? Do you need resources or assistance with your job search?*

OTHER RECOURCES

1. Local Workforce Development Centers: Government-funded job training and placement programs. LINK
2. Catholic Charities Dallas Employment Services: Provides job readiness training and placement assistance. LINK
3. United Way of Metropolitan Dallas – Pathways to Work: Workforce development initiative supporting job access for young adults. LINK
4. Dallas College Workforce Training: Offers free job training and career readiness programs. LINK
5. Texas Workforce Commission Employment Services: Connects job seekers with employers and provides job search resources. LINK
6. NPower Texas: Offers free tech training and career support for young adults and veterans. LINK
7. Job Corps: Free education and job training for young adults. LINK

Have you tried to raise money to help cover this procedure? (gofundme, fundly.com, waggle.org, etc)*

YesNo

Please provide the links to your fundraising campaigns

CHEW's Compassion Fund is unable to cover 100%, what amount are you able to contribute? *

To qualify for the Compassion Fund, you must apply for CareCredit and ScratchPay.

CHEW Animal Clinic offers financing options through CareCredit and ScratchPay.

Note: Both CareCredit and ScratchPay involve soft credit checks with no impact on your credit score and only takes around 5 minutes to complete

Completion of these applications is required. If approved for either or both, you are not obligated to use the full approved amount, nor does it disqualify you from receiving assistance.

HIGHLIGHTS OF CARECREDIT: CLICK HERE
Extended Payment Plans
Interest Free For 6 Months*
Quick & Easy Approval
Immediate Access to Funds
No Annual Fee

HIGHLIGHTS OF SCRATCHPAY: CLICK HERE
Instant Approval
Plans as low as 0% APR
No hidden fees
No prepayment penalty
No deferred interest

CARECREDIT RESULTS*

SCRATCHPAY RESULTS*

List any other ways you are trying to raise funds to cover this procedure?

I understand my application will be declined if documents are not uploaded. Additionally, your name must be visible on all uploaded documents*

THE FOLLOWING MUST BE UPLOADED: W-2 or most recent paycheck. This document must have your name

THE FOLLOWING MUST BE UPLOADED: Most recent bank statement. This document must have your name and current balance

Current Social Security Disability or other Disability Income

Unemployment Benefits

Welfare Recipient documentation

Medicaid Documentation:

Other circumstances that indicate financial hardship can be uploaded here, such as: (a) Proof of bankruptcy settlement (b) Catastrophic situations (death or disability in family, divorce (c) Or other documentation that prove financial hardship.

Provide proof of identity
Current Driver’s License
Passport
State-Issued Identification Card

Upload proof of identity here (i.e Current Driver’s License, Passport, State-Issued Identification Card):*

The Compassion Fund is 100% donor-driven. Without your story and a photo, we simply cannot fundraise effectively. If we are unable to replenish the funds granted, it directly impacts the next family in need.Sharing your story and a photo is strongly encouraged, as it helps personalize your situation and can greatly assist in future fundraising efforts. A picture also strengthens the connection with donors and helps raise awareness. Would you be willing to upload a picture and share your story for the committee’s review? Your submission may also be featured on our social media to support the fund.*

How to Capture the Best Photo for the Compassion Fund

Include at Least One Person (very important): The picture should contain at least one person alongside the pet. This helps create a personal connection and allows donors to immediately relate to the story. Seeing both the pet and their owner emphasizes the bond between them, making the story more impactful and relatable.
Avoid Selfies: If possible, please have someone else take the picture. Selfies can often result in awkward angles or poor focus. A photo taken by another person will provide a clearer, more professional-looking image.
Show Affection: Ask for photos where the person is interacting with the pet—petting, holding, or simply looking at each other. These moments convey a deeper bond.
Clear Focus: Make sure both the pet and person are in focus, with no blurry or out-of-focus shots. A sharp image helps create a stronger connection.
Natural Lighting: Take photos in natural light, such as near a window or outdoors, to avoid harsh shadows and overexposure. Natural light makes the photo look more welcoming and genuine.
Avoid Distractions: Choose a clean background with minimal clutter. A simple, neutral background ensures that the pet and person stand out and the image looks polished.
No Filters or Heavy Editing: While filters might make the photo look nice, they can distort the pet’s true appearance. Keep the photo as natural and unaltered as possible to maintain authenticity.
No Flash Photography: Flash can create harsh lighting and red-eye. Recommend avoiding it to keep the image warm and inviting.

Upload a picture of your pet with the person who loves them*

Your story is incredibly important.It puts meaning behind the picture and helps donors connect with your situation. Please don’t worry about perfect grammar or spelling – we will pull sections from your story to create a powerful message that resonates with those who are willing to help.Tell us why you need assistance from the Compassion Fund. Share a little about your financial hardship and how it’s affecting your ability to care for your pet.Let us know what your pet means to you—how long you've had them and why they are such an important part of your life. Whether it’s their companionship, comfort, or the unique bond you share, we want to understand what makes them so special to you.Your story helps make your situation real to our donors, and that’s what can inspire their support.

While leaving a review on Yelp or Google isn’t required, it can make a big difference in helping us continue our successful fundraising efforts. Many donors look at these reviews before deciding to contribute, so your feedback can play a crucial role in supporting our mission. Would you be willing to leave us a review?*

I have read and agree to the terms & conditions. I affirm and certify that all the information and answers to questions herein are complete, true and correct to the best of my knowledge.*

Compassion Fund Application