ASCP Emergency Relief Grant Application

ASCP Emergency Relief Grant Application

This application is available to current ASCP members who have been impacted by the recent flooding in Texas. Funded by the ASCP Foundation Emergency Relief Fund. For any questions, please reach out to Danielle Soukup at danielle.soukup@ascp.org.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Institution/Employer
City of Institution/Employer
Request Type

This request is for an individual grant.This request is on behalf of my laboratory or employer.
Please share which area of the country you are located, where this natural disaster occurred.
Please share with the ASCP Foundation your history of challenges or the needs you or your laboratory face in the wake of the natural disaster.
This Grant is in no way sponsored, endorsed or administered by, or associated with, Facebook or Instagram or with any of its affiliated companies or subsidiaries. By submitting an application, you agree to release and hold harmless ASCP and its subsidiaries, affiliates, partners, representatives, agents, successors, assigns, employees, officers and directors, Instagram and Facebook (collectively, “Released Parties”) from any liability, illness, injury, death, loss, litigation, claim or damage that may occur, directly or indirectly, relating to the Grant, whether caused by negligence or not.
Submission of this form does not guarantee that you will be awarded a grant. Grant awards and amounts are within the sole discretion of ASCP, will be based on ASCP member donations to support such grants, and will be limited to no more than $1,000. The ASCP Foundation will review all submissions.
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