Name of Organization
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Year Founded
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Board of Directors (including contact information)
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How many animals did your organization take in last year?
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What is your organization’s surrender process?
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How many animals did your organization adopt out last year? (If applicable)
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What is your organization’s adoption process? (If applicable)
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Does your organization require spay/neuter prior to adoption? Why or why not? (If applicable)
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What species does your organization work with?
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Describe your facility or requirements for fosters.
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What is your organization’s policy for routine veterinary care? (ex: annual exams, vaccines, etc)
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Does your organization breed exotic pets?
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What is your organization’s mission statement?
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Please describe your organization’s activities and accomplishments over the past year.
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Please describe your organization’s goals for the coming year.
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Is there anything else we should know?
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Name of person completing this application:
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First Name
Last Name
Checkbox
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To the best of my knowledge, all information presented here is accurate and complete.