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What is the name of your rescue/organization?*

Do you go by any other name?*

Yes
No

What is the other name you go by?*

Address*

Street Address City State ZIP Code

Who is the primary contact for your organization?*

First Last

Primary Contact title (if applicable)

Primary Contact Email*

Primary Contact Phone*

Are you 501c3?*

Yes
No

If so, in what year were you granted status?*

Are you registered in the state in which you operate your shelter/rescue?

Yes
No

What type of facility do you operate:*

shelter
sanctuary
rescue
foster in homes
other

capable of holding how many animals?

number of fosters?

Are you a breed specific rescue/organization?*

Yes
No

Are there any breeds you do NOT handle?*

Yes
No

If so, please explain why:

What types of animals do you rescue (cats, dogs, birds, farm animals, etc.) ?*

How long have you been in operation?*

Do you transfer animals to other rescues?*

Yes
No

Please list the rescues and where they are located:*

Do you accept animals from other rescues?*

Yes
No

Please list the rescues and where they are located:*

What is the process you use to determine which animals you will help? (e.g., those in immediate medical need, highly adoptable animals, animals that have been abandoned in a specific area, etc.) *

How many animals do you work with annually (approximate if exact number is not known) How many animals did you work with last year?*

What are the intake protocols you use for your organization (isolation, veterinary examination, provide age-appropriate vaccines, etc.)*

If you operate a shelter, sanctuary or rescue, please send at least 4 photos of the animals' living quarters and area where they receive exercise. The photos should be sent to: robin.meng11@gmail.com. If you have any remarks or questions about this request, please send to that email as well.

If applicable, please explain how you select fosters.

What protocols do you use when you transfer animals to another rescue or shelter?*

Please describe the type of veterinary care your shelter/rescue provides. (e.g., we partner with a local vet, we have our own clinic, we provide vaccines, etc.)*

If you are requesting money from the Tortorella Family Foundation, please state the amount you are requesting and how you arrived at that total. Also, please explain how the money will be used - for a program or to benefit a specific animal or animals. The Foundation may ask for supporting materials such as invoices or quotes in order to evaluate your request.*

What fundraising efforts have you done on behalf of your organization?*

Are you willing to ask for matching funds from your supporters?*

Yes
No

What have you done to implement and support this program on your own?*

Do you receive other grants or have program backers? Please describe.*

What is your organization’s mission?*

What are your organization’s future plans? How will you implement these plans?*

Please describe the challenges your organization has faced or overcome. Use a specific example of how this helped an animal in your care. *

Can you offer references from other organizations that you’ve worked with?*

Yes
No

Does your rescue require animals that are adopted from you be returned to you if the adopter can no longer care for the animal?*

Yes
No

Does your rescue spay/neuter before adopting out if the animal is at an appropriate age?*

Yes
No

Have you ever had to euthanize an animal?*

Yes
No

If so, please detail under what circumstances this was done and by whom.*

Are you amenable to periodic inspections?*

Yes
No

Do you have a website? A facebook page? Other social media outlets you use? Please provide these addresses.*

Do you use Petfinder? How do you reach potential adopters?*

If you operate a shelter, sanctuary or rescue, please send at least 4 photos of the animals' living quarters and area where they receive exercise. The photos should be sent to: robin.meng11@gmail.com. If you have any remarks or questions about this request, please send to that email as well.

Name

This field is for validation purposes and should be left unchanged.

Questionnaire for Rescue Partners

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