NPPA COVID-19 Relief Application Criteria You must meet the requirements listed and fill out all required fields in order to submit a request to the NPPA’s Covid-19 Emergency Relief Fund. Please affirm that you all meet the criteria listed * I am a current NPPA member in good standing Photography is my full-time profession, or and the majority of my income (not including partner’s income) is directly related to photography I am applying for assistance directly related to the global health crisis Income * I have lost 50% or more of my income since March 2020.I have lost between 25%-49% of my income since March 2020.I have lost between 10%-24% of my income since March 2020. Contact Information Use the same name, address and email as your NPPA membership. First Name * First Last Name * Last Address * Address Address Address City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Please provide the email address and phone number you are most comfortable communicating on. Email * Phone * Alternate method of communication Alternate method of communication ( Please list any alternative method of communication that you prefer - you may list a Skype handle, WhatsApp or Signal number, or alternate email address. About Your Work How long have you worked as a journalist? * Please describe how long you have been a journalist and where. Please indicate the names of the press organizations you have worked for and how long you have worked for them. (Limit: 500 words) What medium(s) do you work in? * Are you an independent journalist? * YesNo Please list all of the media outlets to which you currently contribute. What is your Website/URL? If staff, name of the media outlet(s) you are working for: Employer Website/URL If on staff, have you been furloughed or laid off recently as a result of the Covid-19 Pandemic? YesNo Please list your furlough dates and terms. Your Needs Describe your urgent needs related to the global crisis? * Please be precise in your request for assistance from the NPPA (Limit: 600 words) Have you received support from other relief efforts? * YesNo Please describe the support from other relief efforts. Please include amount of support in USD. Requested amount from NPPA/NPPF relief fund (up to $500) * Supporting Documentation (optional) Providing detailed information can help the NPPA expedite the verification process. For example, this could include an email from an editor cancelling assignment, etc. Select up to two files and/or two video links to upload. Supporting File 1 Drop a file here or click to upload Choose File Maximum file size: 33.55MB pdf, jpg, jpeg, jpe, pmg, tiff, tif, txt, wav, ogg, oga, wma, rtf, doc, docx Supporting File 2 Drop a file here or click to upload Choose File Maximum file size: 33.55MB pdf, jpg, jpeg, jpe, pmg, tiff, tif, txt, wav, ogg, oga, wma, rtf, doc, docx Video Link 1 This link should take the viewer directly to the video. Video Link 2 This link should take the viewer directly to the video. References Please provide name, relationship, phone number and email address of two professional references. They could be editors, journalists, or other journalism professionals you have worked with. NPPA will contact your references if needed. Reference 1 Name * Title * Email * Phone * Reference 2 Name * Title * Email * Phone * Privacy of Data By submitting this application, you agree and understand that not all applicants are entitled to receive funds and that all decisions of the NPPA/NPPF COVID-19 Relief Fund Committee (“the committee” or “we”) are made at their sole discretion and are final. By submitting this application including your personal information, you permit NPPA and/or NPPF to store, and transfer the information above, and to contact you directly. We will not disclose your personal information to third parties without your permission, other than to call your references. We may aggregate and/or anonymize any information collected. We may use and share this aggregated and anonymized information (non-personal information) for research purposes or to report on the activities of the NPPA/ NPPF COVID 19 Relief Fund. Information submitted is subject to our Privacy Policy. I understand and agree to the statement above. * AgreeDon't Agree Press "Submit my Request" below. Submit my Request Δ