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2021-22 PATH Intl. Premier Accredited Center (PAC) Application for Wounded Warrior Project (WWP) Reimbursement Program
**The email provided below will be used for all forms of communication regarding this grant application and future aspects of receiving funding.**

Eligibility:
-The PATH Intl. Premier Accredited Center (PAC) will only request reimbursement for WWP veterans who have been pre-approved and referred by WWP, Inc. before the session begins.
-Current PATH Intl. Premier Accredited Center in good standing
-Able to accurately fill out necessary online forms provided by PATH Intl. in a timely manner
-Able to provide necessary documentation of session's and demographic information of each WWP veteran monthly or upon request.

IMPORTANT:

-This 2021-2022 funding request is solely intended for reimbursement to PATH Intl. Premier Accredited Centers who are serving registered wounded warriors. The reimbursement rate is strictly $85/hour session for equine-assisted services, or $150/hour sessions for equine-assisted psychotherapy/equine-assisted counseling with a licensed mental health professional present. Each Warrior referral represents approval for up to ten (10) sessions.
-Reimbursements will be made to the PACs monthly, as sessions are provided. It is essential that the PAC completes the monthly session reports accurately and promptly in order to receive reimbursement.
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Email *
PATH Intl. Premier Accredited Center Name *
PAC's PATH Intl. ID# *
By checking this box the applicant verifies that the application is for a current PATH Intl. Premier Accredited Center within its lapse date and center membership expiration. *
Required
By checking this box the applicant verifies that each WWP veteran will go through the appropriate referral process before requesting reimbursement. *
Required
The applicant is able to follow exact procedures specified by PATH Intl. that is required to receive reimbursement in a timely manner or understands they will forfeit awarded funding. *
Required
By checking the box below the applicant acknowledges and understands the difference between the PATH Intl. WWP scholarship funding and the PATH Intl. VA Adaptive Sports funding and will not apply for more than one source of funds per individual. The applicant understands that this funding is to be used strictly on referred WWP veterans.
PAC Representative's Name *
PAC Representative's Phone Number *
PAC Mailing Address (this will be the address where all reimbursements will be sent): *
PAC Physical Address (for referral purposes). Enter N/A if same as mailing address. *
1. Is your program currently serving WWP veterans (who are willing and able to go through the WWP, Inc referral process so that their sessions can be reimbursed)? *
If you answered "Yes" (to question 1), how many WWP veterans are currently participating?
2. Which of the following services does your center provide through properly credentialed professionals, in accordance with PATH Intl. Standards? (check all that apply) *
Required
3. When does the PAC offer sessions? (Are you open year-round, or seasonally?)
A copy of your responses will be emailed to the address you provided.
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