Equestrian Aid Foundation: Hurricane Ian Disaster Relief Application

Hurricane Ian Relief Grant Program

for Equestrians Directly Affected by Hurricane Ian
The Equestrian Aid Foundation’s Disaster Relief Fund exists to assist equestrian communities in crisis due to unforeseen and dire circumstances, such as those created by natural disasters or other events unpreventable through reasonable cautionary measures.

In the aftermath of Hurricane Ian, members of the equestrian community who have been directly affected by the storm are invited to apply for emergency financial grants. Grants will not cover the entirety of an applicant's loss; rather, they are intended to help those affected to meet their most immedite and essential needs as they begin the process of regaining stability. The Foundation is prioritizing assistance to those whose safety or basic welfare is in question, and grant amounts will fluctuate given each applicant's circumstances.

Should you have any issues with this form, please email info@equestrianaid.org for assistance.
Applicant Information
Name

First Name Last Name
Title/Occupation
Physical Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Please answer yes or no

	YES	NO
My physical address is also my mailing address. (If NO, please provide a mailing address below.)
The physical address I provided is where I lived prior to Hurricane Ian, but due to the storm my home is temporarily or permanently uninhabitable.

Mailing Address (for grant disbursement, if approved)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
If my application is approved, I would prefer to receive my grant via Zelle rather than USPS. (If YES, the email and phone number below must correspond with your verified Zelle account.)
E-Mail Address
Phone Number
Website or Social Media Page (URL)
Please provide a description of your role in the equestrian community.
If applicable, how many horses are your responsibility, financial or otherwise?
In your response, please let us know if your horses have weathered the storm and are contained in safe conditions.

EQUESTRIAN AID FOUNDATION

Hurricane Ian Disaster Relief Application
Please describe in detail the critical losses of income or property and/or the hardships you are facing as a direct result of Hurricane Ian.
If your safety or immediate wellbeing is compromised, what are your most urgent needs?
As a result of the hardships caused by Hurricane Ian, have you applied for and/or received assistance from any other organization or agency?
Please list the name and contact information for reference who has knowledge of your role within the equestrian community.
Please upload 2-3 photos that demonstrate the critical hardships you are currently facing.

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
Please upload a photo of your driver's license or other government-issued ID.

function SvgDhtupload(props) { return /* @__PURE__ */ react.createElement("svg", dhtupload_svg_extends({ width: 54, height: 47, xmlns: "http://www.w3.org/2000/svg" }, props), dhtupload_svg_path || (dhtupload_svg_path = /* @__PURE__ */ react.createElement("path", { d: "M40.213 10.172c1.897.21 3.68.738 5.35 1.58a15.748 15.748 0 014.374 3.242 15.065 15.065 0 012.951 4.533c.72 1.704 1.08 3.522 1.08 5.455 0 1.827-.28 3.654-.843 5.48-.562 1.828-1.379 3.47-2.45 4.929A13.39 13.39 0 0146.669 39c-1.599.948-3.452 1.458-5.56 1.528H37.26a1.62 1.62 0 01-1.185-.5 1.62 1.62 0 01-.501-1.186c0-.457.167-.852.5-1.186.334-.334.73-.5 1.186-.5h3.848c1.44 0 2.75-.37 3.926-1.108a10.851 10.851 0 003.03-2.846 13.53 13.53 0 001.95-3.9 14.23 14.23 0 00.686-4.321c0-1.582-.316-3.066-.949-4.454a11.623 11.623 0 00-2.582-3.636 12.857 12.857 0 00-3.742-2.478 11.054 11.054 0 00-4.48-.922l-1.212-.053-.37-1.159c-.878-2.81-2.292-4.998-4.242-6.562-1.95-1.563-4.594-2.345-7.932-2.345-2.108 0-4.005.36-5.692 1.08-1.686.72-3.136 1.722-4.348 3.005-1.212 1.282-2.143 2.81-2.793 4.585-.65 1.774-.975 3.68-.975 5.718h.053l.105 1.581-1.528.264c-1.863.316-3.444 1.317-4.744 3.004-1.3 1.686-1.95 3.584-1.95 5.692 0 2.39.8 4.462 2.398 6.219 1.599 1.757 3.488 2.635 5.666 2.635h4.849c.492 0 .896.167 1.212.5.316.335.474.73.474 1.187 0 .456-.158.852-.474 1.185-.316.334-.72.501-1.212.501h-4.849a10.08 10.08 0 01-4.374-.975 11.673 11.673 0 01-3.61-2.661 13.173 13.173 0 01-2.478-3.9A12.073 12.073 0 010 28.301c0-2.706.755-5.148 2.266-7.326 1.511-2.178 3.444-3.636 5.798-4.374.14-2.354.658-4.542 1.554-6.562.896-2.02 2.091-3.777 3.584-5.27 1.494-1.494 3.25-2.662 5.27-3.505C20.493.422 22.733 0 25.193 0c1.898 0 3.637.237 5.218.711 1.581.475 3.004 1.151 4.269 2.03a13.518 13.518 0 013.268 3.215 18.628 18.628 0 012.266 4.216zm-11.964 13.44l6.22 6.85c.245.247.368.537.368.87 0 .334-.123.642-.369.923l-.421.263c-.211.246-.484.343-.817.29a1.544 1.544 0 01-.87-.448l-3.69-4.11v16.97c0 .492-.166.896-.5 1.212-.334.316-.729.474-1.186.474-.492 0-.896-.158-1.212-.474-.316-.316-.474-.72-.474-1.212V28.25l-3.584 4.005a1.544 1.544 0 01-.87.448.959.959 0 01-.87-.29l-.42-.264c-.247-.28-.37-.588-.37-.922 0-.334.123-.624.37-.87l6.113-6.746v-.052l.421-.422a.804.804 0 01.396-.29c.158-.053.307-.079.448-.079.175 0 .333.026.474.079.14.053.281.15.422.29l.421.422v.052z", fill: "none" }))); }

Cancel of
Is there anything else you would like to tell us about your situation as it relates to Hurricane Ian?
Coordination of Disaster Aid (optional):

I give the Equestrian Aid Foundation permission to share my information with other organizations or individuals involved in the disaster aid network. (When applicable, EAF will coordinate relief with other entities in its network.)
Electronic Certification: I certify and declare that: *

As a result of Hurricane Ian, I have experienced a critical loss and this grant request is necessary to support basic living expenses for my household. All information provided within my application is true, complete, and accurate. I understand that making false statements may disqualify me from EAF's Hurricane Ian Disaster Relief grant applicant pool.
Electronic Grant Funds Use: In consideration of the receipt of grant funds under this Grant Program (which consideration is good and valuable consideration, the receipt and sufficiency of which is herby acknowledged), I certify, declare, acknowledge, and agree on behalf of myself and/or my business that: *

Grant funds from EAF's Hurricane Ian Disaster Relief Program will only be used for essential expenses as detailed within this application.
Indemnification statements, etc. *

I understand that the processing and review of applications and subsequent determinations regarding awards and payments of grants under the Equestrian Aid Foundation's Hurricane Ian Disaster Relief program are subject to the sole and absolute discretion of the Equestrian Aid Foundation. I acknowledge that grant funds will be awarded by the foundation in its sole discretion and without recourse to the foundation and its staff and board members regarding any determinations, funding decisions, awards, payments, or other matters related to or arising out of the foundation's Hurriane Ian Disaster Relief Program. The foundation reserves the right to modify, suspend, or terminate this program at any time.
Electronic Signature *

Clear
The information hereby contained in this application is confidential, privileged and only for use by the Equestrian Aid Foundation Applicant Review Committee and may not be used, published or redistributed without the prior written consent of the applicant.

Equestrian Aid Foundation Inc. shall not discriminate on the basis of race, ethnicity, national origin, color, age, religion, creed, disability, marital status, military status, sexual orientation, gender identity or gender expression, or any other category protected by local, state, or federal law. This policy shall apply to all activities, outreach, and operations, including but not limited to provision of services, selection of board members, hiring and firing of staff, and selection of volunteers and contractors. The Equestrian Aid Foundation shall remain committed to providing an inclusive and welcoming environment for Board and staff, grant applicants and recipients, volunteers, contractors, and all members of the community with whom the Foundation engages.
If you have issues with the online application or have questions about the application process in general, please contact info@equestrianaid.org or by telephone: 800.792.6068.
Should be Empty:

Hurricane Ian Relief Grant Program

EQUESTRIAN AID FOUNDATION