Relief Fund Application

APPLICATION FOR ALDHA CARE RELIEF FUNDS

To receive grants from the ALDHA Care Relief Fund you must complete this online application form. Funds are limited and will be allocated based on alignment with the mission of ALDHA. The primary focus is to assist individuals, businesses, and organizations with strong ties to long distance hiking trails in the eastern USA. Not all applications may be approved, and the amount of funding awarded may vary based on the availability of funds and the specific circumstances of each application.

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Applicant Type *

• Non profit Business
• For profit Business
• Individual

Company/Organization Name

For all companies, trail organizations, whether for profit or nonprofit please enter your legal entity name here.

Job Title

If you are representing a company or organization, whether for profit or nonprofit, please let us know your position in the company.

Name *

First

Last

The primary contact for this application.

Job Request Address

Email *

Phone

Address

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Amount Requested *

You may enter any amount, however the ALDHA Emergency Fund typically awards grants in the range of $500 to $5,000.

Funding Request Details *

Describe the emergency (natural disaster, fire, flood, etc.) that led to your request and how has this emergency impacted you/your business/organization?

How would the funds be used *

Outline the specific expenses or needs the funds will cover if your application is approved.

File Upload

Click or drag files to this area to upload. You can upload up to 10 files.

Please attach any supporting documents (e.g., photos, reports, financial statements) that can help us understand your situation better.

Declaration: I hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that providing false or misleading information may result in the forfeiture of funds and possible legal action.

Submit