Please complete this form in order to upload your completed Grant Application for Humanitarian Aid Product Donations form document.
- All product donation requests for humanitarian aid must include a completed Product Description Proposal.
- Grant applications must be submitted AT LEAST 60 BUSINESS DAYS prior to a procedure and/or departure of a humanitarian aid mission via the online submission page below.
- Any questions regarding this Grant Application should be directed to Acumed’s Grants Committee at firstname.lastname@example.org.
- If approved by Acumed, the Application Organization may be provided a separate donation agreement that will become a binding agreement between Acumed and the Applicant Organization. Acumed’s receipt of a fully executed donation agreement may be required prior to products being released by Acumed.