BIVI Giving Well Financial Contribution Application

Contact Information

Organization Information

Application Information

Program/Project Information

Attachments

Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png pdf doc docx.

Affirmation Statement

By submitting the application form, the applicant hereby assures and certifies that it will comply with all guidelines as stated in the financial contribution application form. The Applicant also certifies:

• It possesses legal authority to apply for the financial contribution, that a resolution and/ or motion of similar action has been duly adopted or passed as an official act of the applicant’s governing body, authorizing the filing of the application. The organization has directed and authorized the person identified as the official representative of the applicant to act in connection with the application, and to provide such additional information as may be required.

• It will comply with all national, state, and provincial mandates which prohibit discrimination on the basis of race, color, national origin, age, gender or disability.

• The information provided is accurate and that any financial contribution funds received will be used according to the stated purpose.

• The Applicant Organization must provide Boehringer Ingelheim Vetmedica, Inc., with immediate notification of any change in its tax-exempt status as soon as it occurs.

• The Applicant Organization acknowledges that the financial contribution will not be used for any organization or individual other than the grantee without approval, in writing, by Boehringer Ingelheim Vetmedica, Inc.

• The Applicant Organization will return all unused funds to Boehringer Ingelheim Vetmedica, Inc., unless other arrangements are made and approved, in writing, by Boehringer Ingelheim Vetmedica, Inc.

• The use of the names, logos or trademarks of Boehringer Ingelheim Vetmedica, Inc., or any of their affiliated entities in the titles of programs or other financial contribution-related activities or materials is expressly prohibited without prior written approval from Boehringer Ingelheim Vetmedica, Inc.

• The Applicant Organization is encouraged to acknowledge the support of Boehringer Ingelheim Vetmedica, Inc., and to include the name of Boehringer Ingelheim Vetmedica, Inc., in a manner approved in advance in writing, on any printed and visual materials produced as a result of the financial contribution.

The applicant also herby acknowledges that:
• Only Boehringer Ingelheim Vetmedica, Inc., can make a commitment to provide funding, and that acceptance of this application form is not a guarantee of funding.

• The review of the application form and the funding decisions are at the sole discretion of Boehringer Ingelheim Vetmedica, Inc.

• Boehringer Ingelheim Vetmedica, Inc., may modify the amount of funding requested upon acceptance of the application form at any time prior to the issuance of full funding.


Application Deadlines

We review applications as they are received to ensure they have met eligibility requirements. Our employees help select organizations to receive funds. We make funding recommendations on a quarterly basis. The timetable for application deadlines and award dates can be found here.



Other Important Information

  • Nonprofits may apply for funds each quarter.
  • Applications will not roll over to the next quarter automatically. A new application will need to be submitted.
  • Nonprofits will be notified if they will receive or not receive an award.

 

 

Need help?

If you have questions regarding the BIVI Giving Well, please contact us.