Microsanctuary Resource Center Emergency Micro-Grant Form

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Please use this form to provide us with information so that we can provide you with an emergency micro-grant.

For medical emergencies, we typically provide grant funds directly to a veterinarian on your behalf. Grants do not need to be paid back or returned if used for approved purposes.

If you have any questions along the way, feel free to get in touch with us at info@microsanctuary.org!

PLEASE BE SURE THAT EITHER YOU OR YOUR VET'S OFFICE SENDS A RECEIPT FOR CARE SERVICES TO US AT info@microsanctuary.org.

Email *

Name *

Address *

Phone *

Social media link *

I am over 18 years old *

Yes

If under 18, my birth date is

YYYY

If under 18, my parents are aware that I am applying

Yes

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Are you vegan? If so, for how long? Do you or other members of your household use any animal products? If you are not vegan, are you transitioning? *

Are you a 501(c)(3) tax-exempt nonprofit organization? (If yes, please provide a copy of your determination letter.) *

Yes

If 501c3, please include your organization’s EIN. (For foreign charities, please email your registration documents as part of your supporting materials.)

How many non-human residents currently live at your microsanctuary? *

If you have bird residents, what do you do with any eggs? *

Please check the box if this a climate-related emergency caused by severe weather or other similar environmental situations?

Yes

Please describe the situation for which you are seeking an emergency grant, including estimate of costs if known. *

If this application is for veterinary care, please provide the following information for the vet you will be using: vet name, office name, address, phone number. *

Do you anticipate needing additional funds for this situation? If so, what is your plan to cover expenses? *

By inserting my name below, I signify that the information above is accurate. *

A copy of your responses will be emailed to the address you provided.

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