Jennifer T. Kalicki

Jennifer T. Kalicki

Pet Assistance Fund Application
Full Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Please enter a valid phone number.
Is it safe to contact you via phone?*
Please note that when Alternative House calls you, it may show up as Private, Restricted of Unknown. Please indicate whether or not it is safe to leave a voicemail.
Safe to leave a voicemail:*

YesNo
Is it safe to contact you via email?*
Where are you currently located?*
Have you experienced domestic violence?*
Do you have pets?*

YesNo
Please describe all pets*
Are your pets currently with you?*

YesNoWith someone elseOther
If you answered with someone else or other, please explain:*
What type of assistance are you requesting for your pet?*
Thank you for completing the Pet Assistance Application. Please note that while Alternative House aims to support survivors in caring for their pets, we cannot guarantee funding or full funding for all requests. Assistance is provided based on available resources and specific needs.

Alternative House is not responsible for any pets under this program. Additionally, we are unable to assist with transporting animals, securing foster care, or relocating pets. We appreciate your understanding and will do our best to review and respond to your request promptly.
Confirm*

I Agree
Should be Empty: