Grant Application
Name of Facility
Address
City/State/Zip
Registration and EIN Number
Coordinator Name
Title
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Number of dogs placed permanently with new owners in the last 12 months?
How many of these new dog owners do you estimate would have been willing to provide regular visitation to the previous dog owner?
What is your estimated number of re-homers that you will be able to facilitate assigning dogs for incapacitated owners over the next 12 months?
How will you facilitate the assignment of re-homers to provide the original dog owner with regular visitation in exchange for covering all dog expenses?
Do you provide dog grooming or other dog maintenance services?
What would your vetting process be to determine eligibility for the rehoming household, the dog and original owner who is unable to care for their dog?
What dog benefits do you offer:
*
Provide Details
Please list your references
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