GOODS Program Application - Rescue Groups The GOODS Program - RescuesOrganization Organization Type - Select -Rescue GroupShelterNon-Cat and Dog Rescue GroupFederal ID # Proof of Non-Profit Status - IRS Determination Letter Choose File Website Address Website link to adoptable animals, Do not put the word "Petfinder" or petfinder.com Primary Contact Name Applicant's Position in Organization Email Phone Number Street Address (No PO Boxes) City State Zip Code Number of active volunteers Number of employees Animals Reside In: - Select -Foster HomesFacilityBothSpay/Neuter all animals prior to adoption? - Select -YesNoIf no, explain why # cats adopted past 12 months # dogs adopted past 12 months Average monthly need for cat food (lbs) Average monthly need for dog food (lbs) Mission Statement Describe Adoption Program Does your organization have a contract to provide animal control services for any city, county, or municipality? If yes, please explain. Veterinary Reference - Name, Phone Number, Contact Person, Address Have you participated in a "donated" or "low cost" pet food program within the past 12 months? - Select -YesNoIf yes, please provide program name and frequency. Why are you requesting support from Rescue Bank? How did you hear about our program? Reference 1: Name, Phone Number, and Relation to Group Reference 2: Name, Phone Number, and Relation to Group Interview Times I have read and agree to the Terms and Conditions. (Will open a new window.)Signature Date Submit Form
