Hunters Helping Hunters USA, Inc.

HHH-USA Assistance Application

Please fill out the following information. All info is kept confidential. We will respond back as soon as we have had a chance to look over the application and have determined if we can help. Thank you for the opportunity to give back - HHH-USA!
Who is the Application for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Name of the APPLICANT (person to receive assistance from HHH-USA): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Applicant's Physical Street Address (Please - No PO Boxes) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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(Please tell us about the circumstance that caused the Applicant financial misfortune.)

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(Make a list of creditors to whom payments must be made, in order of need or importance.)

If you are a Helper (someone helping the Applicant fill out this form), your info can be very helpful for HHH-USA to process the application, especially if the Applicant themselves cannot communicate directly with us. Please enter YOUR contact info below:

The following information IS NOT about the Applicant. This next section is about the person assisting the Applicant with this Application Form. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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(As someone helping the recipient submit this information, your private contact info is ALSO held as confidnetial information.)

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Thank you for filling out our Assistance Application Form. Once our Board has had a chance to review the application, we will be contacting either the Applicant or the person who is helping the Applicant with this application.

We look forward to helping you anyway we can.

PLEASE NOTE:


Grants will NOT be paid directly to any applicant. Grants are only paid to creditors identified by the applicant and verified by Hunters Helping Hunters USA.

Once your application is approved, please be ready to provide any supporting documentation upon request from HHH-USA. This should include copies of invoices or bills for which you are requesting assistance.

By submitting this application, the prosective Applicant hereby authorizes Hunters Helping Hunters USA to fully investigate all information that has been supplied herein. Furthermore, the Applicant authorize Hunters Helping Hunters USA to obtain the Applicant's financial information, verification of employment, verification of your loss, and any other information Hunters Helping Hunters USA may deem necessary in order to process and investigate this application.

In addition, the Applicant agrees to hold harmless Hunting Helping Hunters USA, its’ employees, its board of directors, and committees, from any loss or claim arising out of applying for assistance from Hunters Helping Hunters USA.

The Applicant also agrees to hold harmless any institution or person supplying Hunters Helping Hunters USA with information pertaining to this request. The Applicant acknowledges that they fully understand that this application may be granted or denied at any time for any reason by sole discretion of Hunters Helping Hunters USA.

By submitting this application and waiver, the Applicant agrees to the terms and conditions contained herein. The Applicant also swears that the facts contained in the previous pages are true and correct to the best of their knowledge and recollection. The Applicant also acknowledges that they are aware that swearing to false statements could make them guilty of a crime.

Hunters Helping Hunters USA, Inc.

HHH-USA Assistance Application

Hunters Helping Hunters USA, Inc.

HHH-USA Assistance Application

Please fill out the following information. All info is kept confidential. We will respond back as soon as we have had a chance to look over the application and have determined if we can help. Thank you for the opportunity to give back - HHH-USA!
Who is the Application for? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Name of the APPLICANT (person to receive assistance from HHH-USA): {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Applicant's Phone Number  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Applicant's Physical Street Address (Please - No PO Boxes) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Applicant's Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
How is the Applicant or the Applicant's family associated with hunting? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
How much total assistance is the Applicant requesting from HHH-USA? (just an estimate) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
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Under what circumstance is the Applicant requesting financial assistance?  {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
To whom will the assistance grant be paid? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

If you are a Helper (someone helping the Applicant fill out this form), your info can be very helpful for HHH-USA to process the application, especially if the Applicant themselves cannot communicate directly with us. Please enter YOUR contact info below:

The following information IS NOT about the Applicant. This next section is about the person assisting the Applicant with this Application Form. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone# of Helper to the Applicant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email Address of Helper to the Applicant {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

Thank you for filling out our Assistance Application Form. Once our Board has had a chance to review the application, we will be contacting either the Applicant or the person who is helping the Applicant with this application.

We look forward to helping you anyway we can.

PLEASE NOTE:


Grants will NOT be paid directly to any applicant. Grants are only paid to creditors identified by the applicant and verified by Hunters Helping Hunters USA.

Once your application is approved, please be ready to provide any supporting documentation upon request from HHH-USA. This should include copies of invoices or bills for which you are requesting assistance.

By submitting this application, the prosective Applicant hereby authorizes Hunters Helping Hunters USA to fully investigate all information that has been supplied herein. Furthermore, the Applicant authorize Hunters Helping Hunters USA to obtain the Applicant's financial information, verification of employment, verification of your loss, and any other information Hunters Helping Hunters USA may deem necessary in order to process and investigate this application.

In addition, the Applicant agrees to hold harmless Hunting Helping Hunters USA, its’ employees, its board of directors, and committees, from any loss or claim arising out of applying for assistance from Hunters Helping Hunters USA.

The Applicant also agrees to hold harmless any institution or person supplying Hunters Helping Hunters USA with information pertaining to this request. The Applicant acknowledges that they fully understand that this application may be granted or denied at any time for any reason by sole discretion of Hunters Helping Hunters USA.

By submitting this application and waiver, the Applicant agrees to the terms and conditions contained herein. The Applicant also swears that the facts contained in the previous pages are true and correct to the best of their knowledge and recollection. The Applicant also acknowledges that they are aware that swearing to false statements could make them guilty of a crime.

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