General Funds Annual Grant Application
This application is intended for submission to Help a Buddy Fund
Part A: Organization Details
Name of Organization
*
Organization's Headquarters Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Registered Charitable Number
*
Contact Person
*
Position or Title of Contact Person
*
Phone Number of Contact Person
*
Email Address of Contact Person
*
example@example.com
How many animals do you currently have in long-term care (1 year or more at the time of application) that are estimated to benefit from the funds provided?
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Long-term animals must directly benefit from our General grant, and the funds must go directly to the care of one of these animals. However, for this question, enter the total number of long-term animals in your care.
Provide a brief overview of your organization, including the type of animal welfare group (shelter, foster/adoption based program, sanctuary) and your overall mission and values
*
Part B: Funding Request
Explain in detail how the primary focus of the funding request selected above will have a direct impact on one or more of the animals currently in long-term care with your organization. Include a backstory of the animal(s) that will benefit and why the funding is specific to their needs
*
How has the organization experienced financial hardship in the past 6 months
*
Provide an estimated budget of how the funds may be used. The largest expense should address the primary focus as indicated above, with any extra expenses listed to total the full amount of the funds available.
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Item Description
Estimated Cost
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2
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5
Part C: Supporting Documents
Provide any veterinary invoices or receipts for supplies which demonstrate the ongoing monthly costs of at least one of the animals mentioned in this application. These receipts should support the budget outlined above
*
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Provide a copy of the organization's most recent financial statements
*
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Provide proof of long-term care for all of the animals mentioned in this application:
*
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For example: Surrender form with date and signature, Pet licensing documentation which indicates the organization is the primary caretaker, First date of medical welfare check completed by the organization's veterinary partner, etc.
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If desired, please provide photos of the animal(s) mentioned in this application
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