Michigan Pet Alliance 2021 Awards
Application:
Date
*
-
Month
-
Day
Year
Date
Organization Type
*
Animal Shelter
Animal Rescue
Is your organization a not-for-profit, please provide your Charitable Solicitation information:
*
Yes (please enter Attorney General File number below)
No, I'm exempt from registering
If you said yes above, please provide your Attorney General File #
blanks
Shelter or Rescue Information:
Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Federal EIN
*
Person Submitting the Application:
Name
*
First Name
Last Name
Title
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Additional person who should be notified if application is selected for an award, in addition to the person submitting the application:
Name
First Name
Last Name
Title
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Submission Type:
Submission Type (Check all that apply):
*
Project
Program
Choose the grant you are applying for:
*
COVID
Shelter Assessment
Training
Description of project or program that has been impacted by the COVID Pandemic. Please include the positive changes brought about and how you intend to continue the positive results (500 words or less)
0/500
Why would your shelter benefit from a shelter Assessment. How would you use the results to improve your shelter? (500 words or less)
0/500
How would your shelter/rescue benefit from onsite training? (500 words or less)
0/500
I certify that the Shelter or Rescue Director is aware this application is being submitted.
*
Yes
No
I certify that Michigan Pet Alliance is allowed to use this submission, with credit given to the organization submitting, and add it to its library of best practices and downloadable documents for use by other animal welfare organizations. This may include electronic, written and verbal forms.
*
Yes
No
Signature
Submit
Should be Empty: