Post 9/11 Grant Wish Application
Thank you for your interest in the Post-911 Grant Program. We are excited to grant wishes and provide meaningful experiences to deserving Veterans
Please Note: Grants are only available to residence of the following Florida Counties: Hillsborough, Pinellas, Pasco, Hernando, Manatee, and Polk.
Please Complete the Following Application to be Considered for a Wish Grant
II. Wish Details.
III. Supporting Documents.
Please attach the following supporting documents to your application:
a. Copy of your DD Form 214 member-4 or other official military records as proof of your service.
b. Most recent pay stub – LES – Disability – Or Award letter
*Total household income cannot exceed 120% of the area median income where you reside.
c. Most recent year’s tax returns, including all schedules and all pages.
d. Any additional supporting documents or letters of recommendation that may strengthen your wish Application.
REMOVE YOUR SOCIAL SECURITY NUMBER, ALONG WITH ANY OTHER CONFIDENTIAL/PROTECTED INFORMATION (“CONFIDENTIAL INFORMATION”) FROM ALL DOCUMENTS BEFORE SUBMITTING.
IV. Marketing, Photos, and Videos.
a. I understand that if I am selected for the Post 9/11 Grant Program, my personal information, photos, videos, and likeness may be used by Post 9/11 Veterans for marketing and promotional purposes. I hereby forever authorize and license such use to Post 9/11 Veterans and forever waive any claim or right related to such use, including, but not limited to, compensation or payment.
b. If I am selected for the Post 9/11 Grant Program, I agree that Post 9/11 Veterans may take photos and videos of me during and throughout the wish-granting process and that such photos and videos shall be the sole property of Post 9/11 Veterans, and I forever waive any claim or right to the photos and videos, including, but not limited to compensation or payment.
V. Communication. I authorize Post 9/11 Veterans to contact me by phone, text message, email, or any other means if more information is needed or if I am selected for the Post 9/11 Grant Program.
VI. Release and Indemnification.
a. I UNDERSTAND AND AGREE THAT IT IS MY RESPONSIBILITY TO ENSURE THE COMPLETE REMOVAL OF ALL CONFIDENTIAL INFORMATION FROM THIS APPLICATION, ALONG WITH ALL SUBMITTED DOCUMENTS AND ATTACHMENTS. I hereby forever release and agree to indemnify, defend, and hold harmless Post 9/11 Veterans, its employees, directors, officers, agents, and assigns, from and against any claims, damages, injury, and liability, without limitation, whether direct or indirect, resulting from or related to any disclosure of Confidential Information, without exception.
b. I agree to indemnify, defend, and hold harmless Post 9/11 Veterans, its employees, directors, officers, agents, and assigns from and against any third-party suits, actions, legal or administrative proceedings, claims, demands, costs, and expenses, including, without limitation, court costs and attorney’s fees, for any injury, damages, liability, and expenses, whether personal or otherwise, related to my involvement with Post 9/11 Veterans, resulting from, caused by, or related to any action, non-action, negligence, misrepresentation, fraud, intentional conduct, or illegality on my part.
VII. Florida Law and Venue. This Application shall be governed by, construed, and enforced in accordance with the laws of the State of Florida. If any action, suit, or proceeding is instituted as a result of any matter or thing affecting this Application, the parties hereby designate the Thirteenth Judicial Circuit Court in Hillsborough County, Florida, as the sole and proper jurisdiction and venue in which same is to be instituted.
VIII. Attorneys’ Fees. In any action at law or in equity, necessary or related to this Application, including, but not limited to, enforcement or interpretation, the prevailing party shall be entitled to reasonable attorneys' fees and costs.
Thank you for taking the time to complete a Post-911 Grant Wish Application. Once submitted, our team will carefully review your application and assess for eligibility and alignment with our criteria requirements. We appreciate your patience throughout the process. If your wish is selected for a grant, or if more information is needed from you, we will contact you to discuss further details.
For any inquiries or assistance, please contact info@post911veterans.org