Grant Application
Name of Facility
*
Address
*
City/State/Zip
*
Registration or EIN Number
Coordinator Name
*
Title
Phone
Email Address
*
example@example.com
How many dogs have you placed with owners in the past 12 months?
How many of these new dog owners do you estimate would have been willing to provide regular visitations to the previous dog owner?
What do you estimate would be the typical time to find a household to provide visitation with the previous owner?
Do you currently provide veterinarian services for rehomed dogs?
Do you provide dog grooming or other dog maintenance services?
Do you have a source for free or low-cost dog food, and from what source?
What percentage of your dogs are placed in permanent homes ?
What would be your vetting process to determine eligibility for the rehoming household?
How would you match the dog and owner with the most suitable rehoming provider?
I confirm that all information provided in the application above is accurate.
*
Full Name
Date
Submit
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