By submitting this form, I agree that the Fund is authorized to acknowledge any grant to me in press releases, publications or social media, to transmit any grant it approves for me to the appropriate IIABA state association, if applicable, for delivery to me, and as part of its due diligence, to share my information with IIABA state associations and /or relief organizations. I also certify, under penalty of perjury, that: i) all information in this Application Form is true and correct; ii) I will notify the Bobby Salmon Relief Fund in writing of any material changes to the application prior to receiving any grant from the Bobby Salmon Big "I" Relief Fund; and iii) if the application is on behalf of a business, I am authorized by the business to complete and submit it.