Petstablished | Manage your Animal Welfare Organization (AWO) with our easy-to-use software.

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Personal Information

* First name

* Last name

* Email

* Email confirmation

Home phone

Cell number

* Current Address

Current Address 2

* Zip

* City

Country

*State/Province

Date of Birth

* Month

* Day

* Year

Organization Information

Official Organization Name.

Non-profit Tax Identification Number / EIN

Position of person completing this application, within their organization.

Give a Dog a Home Rescue is located in Sebec, Maine, 04481. Organizations are required to schedule an appointment on distribution days to pick up donated / low cost goods. How far is your organization from Give a Dog a Home Rescue?

Guide Star Profile Link

What type of organization are you

Animal Welfare (includes, rescue's, shelters', pet pantry's, low cost clinic's)Community Resource & Outreach (includes homeless services)Domestic Violence Shelters & ResourcesEducation or LiteracyFederal government agencies including VA and FEMAHousing (includes emergency, transitional & permanent)Human Feeding (includes food banks or pantries)Law enforcement agenciesState & local community programs & officeVeteransWomen & ChildrenOther - please describe below

If "other" please describe your organization.

Is your organization a non-profit charity

YesNo

Is your organization a non-profit charity

YesNo

If your organization is not a non-profit, or government agency, what do you categorize as?

Please detail the services you provide and what category of people / pets do you serve?

Organization's Mission Statement!

What national, state or local licenses and or permits do you hold

Please provide your organization's full website address

Please provide Facebook Page and any other Social Media Links

Number of paid employees

NONE - Volunteer Based ONLY0-1011-2021 - 100100-500501+

Do you, or have you received donated or low cost goods from other organizations? If so, please provide where from, type of donations/low cost goods and frequency

Would donated / low cost goods be used for your organizations purpose, or distributed to individuals, other organizations? Please elaborate.

Describe how your organization makes a positive impact on the community

Please take this opportunity to provide any additional information about your program to support your application.

If 501c3, please upload your current IRS determination letter.

Please upload your current state license for your organization

Please describe how and where you would store the donated items?

Pet food and most items are generally distributed by the pallet load, with bags of food varying in sizes. Approximately how many pounds of food,, cat litter and such do you have the capacity to store?

What quantity of food and or cat litter do you envisage needing and being able to store per month?

Authorized Representatives

It is required that you provide contact information for TWO authorized representatives for your organization.

Please ensure that they are aware their names are being submitted and what the application is in regards to.

Name of primary authorized representative and position for your organization.

Email for primary authorized representative

Please provide a working phone number that has voicemail set up for primary authorized representative

Name of secondary authorized representative and position for your organization.

Email for secondary authorized representative

Please provide a working phone number that has voicemail set up for secondary authorized representative

Applicant Information

Application Completed By

Applicants role at the organization

Applicants email address

Applicants main contact number

TERMS & CONDITIONS

You are authorized to sign this agreement on behalf of this organization and certify that the information set forth in this application and supporting documentation is correct.

YesNo

You have read and understood the criteria that apply to this application and certify that the organization meets each one.

YesNo

Relative licenses and / or the IRS determination letter has not been revoked, canceled or modified.

YesNo

That goods shall be protected against dampness, deterioration, and mold or from contamination by insects, birds, rodents or other animals.

YesNo

That any goods spoiled or otherwise contaminated shall not be used and disposed of appropriately.

YesNo

To abide by restrictions or conditions of distribution, if any, imposed by the source of Donation and communicated to Recipient by Donor.

YesNo

That feeding human or pet food to ruminant animals is prohibited.

YesNo

To not sell, transfer, trade or barter any Donation or portion thereof in exchange for money, property or services or otherwise allow the items to enter commercial channels.

YesNo

To release both Donor and Donor’s source(s) from any liability arising from the condition of Donation and further agrees to indemnify and hold harmless Donor and its source(s) against any and all damages, losses, claims, causes of action and suits of law or in equity or any obligation whatsoever arising out of or attributed to any action of in connection with Recipients receipt, handling or distribution of Donation.

YesNo

That Give a Dog a Home Rescue may list your organization as a participant in its publications, website or other informational materials but will not sell or disclose non-contact information for any commercial purpose.

YesNo

That goods or services are provided on an "as is" and "as available" basis. Give a Dog a Home Rescue expressly disclaims all warranties of any kind, whether express or implied, including, but not limited to the implied warranties of merchantability or fitness for a particular use or purpose.

YesNo

Your organization grants to Give a Dog a Home Rescue the following: 1) the right to include on its website a link to your organization’s website(s), 2) the right to use any image(s) that you submit to Give a Dog a Home Rescue or that may be recorded by Give a Dog a Home Rescue during or in connection with events that involve both organizations.

YesNo

Permit monitoring, including a site visit if requested, by a Donor representative, as reasonable and necessary to verify that compliance with criteria, receipt, handling and use of Donation conform to this Agreement.

YesNo

Applicant grants permission to Give a Dog a Home Rescue and its goods / pet products donors to use information contained in this application for their internal evaluation and response procedures.

YesNo

All Handling Fee payments are to be made payable to Give a Dog a Home Rescue, as requested, and in no event made to any individual or other organization.

YesNo

I have read and agree to the terms and conditions described in this application.

Type full name which will indicate signature.

ANIMAL RESCUE & ANIMAL SHELTER Organizations Section ONLY

This Section of the application is for animal rescue groups only!

Donors provide wholesome, nutritious food on an as-available basis only. The majority of products is dog food, however, we do also receive cat food, cat litter, horse feed , occassionally livestock and chicken feed, and small creature feed and bedding.

Organizations are not able to request specific food types (e.g., grain-free) or brands.

Food and supplies (the "Donated Goods") are for the Recipient Group’s use only. They may not be:

a) redistributed without the expressed written consent of the GOODS Program
b) sold, rented, or exchanged for other goods or services, nor
c) presented for refund

Each Recipient Organization must complete their own application. It is a violation to obtain products on behalf of another organziation.

Submitting this form does not guarantee approval to receive products. Incomplete applications will not be processed.

List all species of animals that you care for

Website link to adoptable animals (direct link required, do not put the word "Petfinder" or petfinder.com)

Animals reside in:

Foster HomesBrick & Mortar Building / Shelter operated by organizationFoster & Brick & Mortar BuildingBoarding paid for by our organizationOther - please explain below

If you answered other, please explain.

# of DOGS adopted in 2022

# of CATS adopted in 2022

# of other SPECIES adopted in 2022

# of DOGS currently in your care.

# of CATS currently in your care

# of Other Species currently in your care

List species with number in your care

Average monthly need for DOG food (Ibs)

Average monthly need for CAT food (Ibs)

Please note we only receive a small amount of cat food in comparison to dog food and cat food is always in high demand. We will try and ensure you get what you need, but it will be dependent on how much we receive and how many other organizations are requesting also.

Are you interested in wet dog / cat food

YesNo

Describe your product needs (bedding, food, supplies)

Describe food storage capabilities. Include maximum food storage capacity.

Provide details of where food will be stored, type of building, location and security, rodent prorection if needed.

If no, please explain why

Describe your adoption program and process.

Does your organization have a contract to provide Animal Control Services for any city, county, or municipality?

If YES, please explain contract type.

Why is your organization requesting support from the GOODS Program?

Please provide your veterinarians contact information so that we can contact them for a vet reference. You will need to call them, to give permission for them to talk to us.

Vet Clinic Name; Phone Number and Name on the Account.

Please list other food sources

Explain where you currently obtain food for the pets in your care.

Do you spay/neuter all animals prior to adoption?

Have you participated in a "donated" or "low cost" pet food program or manufacturer sponsored "shelter feeding program" within the past twelve (12) months?

If YES, please provide details of program, frequency and products provided

FERAL CAT Organization Section ONLY

This Section of the application is for animal rescue groups only!

Organizations are not able to request specific food types (e.g., grain-free) or brands.

Food and supplies (the "Donated Goods") are for the Recipient Group’s use only. They may not be:

a) redistributed without the expressed written consent of Goods Program,
b) sold, rented, or exchanged for other goods or services, nor
c) presented for refund

Average monthly need for CAT food (lbs)

Are you interested in wet and or dry cat food?

Describe food storage capabilities. Include maximum food storage capacity

Do you have a TNR program? If so, describe the program. Include the number of spay/neuter surgeries performed in the past 12 months.

Do you have a feral feeding program? If so, describe the program, including the number of cats you support

Have you participated in a "donated" or "low cost" pet food program within the past twelve (12) months?

If YES, please provide details

Please list other food sources

Explain where you currently obtain food for the cats that you care for.

Why is your organization requesting support from the GOODS Program?

Please provide your veterinarians contact information so that we can contact them for a vet reference. You will need to call them, to give permission for them to talk to us.

Vet Clinic Name; Phone Number and Name on the Account.

FOOD PANTRY (Human & Pet) Organization's Section ONLY

Who do you serve?

Individuals & Families in needCommunity Service Organizations including Homeless & Domestic Abuse SheltersOther Food & Pet Food BanksAnimal Rescue Groups / Animal SheltersFeral Cat OrganizationsFeral Cat FeedersOther

If other, please explain.

# of recipients/organizations served past 12 months

Average monthly need for CAT food (lbs)

Average monthly need for DOG food (lbs)

Are you interested in wet and or dry food?

Are you interested in small creature food and supplies - rabbit food, small creature bedding, hay etc. If yes, please elaborate.

Does your program repackage food in any way, and if so, how?

Why is your organization requesting support from the GOODS Program?

Do you require the people you serve to provide proof of low income or government support?

Are you interested in human products - hand sanitary wipes, cleaning items, blankets?

We will occasionally be offered human essential items, we do not know what they will be, until we are offered them!

YesNoI would like to be informed of all products, food and supplies when they become available.

HUMANE, COMMUNITY, LAW ENFORCEMENT, NON-ANIMAL ORGANIZATION SECTION ONLY.

Please explain how you intend to use the products from the program.

What Next ?

When your application and a copy of your 501ce or relative licence has been received at Give a Dog a Home Rescue, we will move forward with processing your application.

We try and get all applications processed and hopefully approved within a few days, however, this could take 2-3 weeks, depending on our work-load at the rescue and with all of our programs.

Once approved, you will receive an email informing you and you will be added to our database. Then as we receive and accept offers of donated goods, we will reach out with all relevant information.

The pick up location will always be at the rescue at 187 Downs Road, Sebec, Maine.

We do have a tractor and can sometimes borrow forks, however, please expect to "hand-load" incase the tractor is not available.

Most if not all correspondance will be done via email.

Payment MUST be made either before pick-up or at the time of pick up. We accept cash, credit card, paypal, venmo ect.

We look forward to working with you.

How did you hear about Give a Dog a Home Rescue, GOODS Program

ADDITIONAL or SUPPORTIVE Information

Please provide any additional or supportive information that you feel would help us process your application.

If you would like to upload any pictures or documents you can do so here!

Program Information

Give a Dog a Home Rescue has teamed up with Greater Good Charities, GOODS Program to become the Maine and surrounding east coast states Program Ambassador. Sharing resources with animal welfare agencies and human support organizations to help them with their organization missions.

Food and supplies are donated by the truckload from gracious donors, shipped to our location in Sebec, Maine for receipt and allocation, then distributed to qualified GOODS Program recipients for a MINIMAL HANDLING FEE.

The Greater Goods Charities (GGC) requires all of their Goods Program Ambassadors to vet all potential recipients of all donations, this is part of our contract to GGC.

As an Ambassador, we receive, organize, then distribute pet food, essential supplies, clothing, housewares, toys, and more to pets and people in need throughout the state and east coast.

To participate, organizations must meet the following qualifications:

Be a 501(c) 3 organization in good standing, a municipal/county shelter, or human services organization
Provide a website including the organization’s mission (Facebook is not sufficient)
Have a profile on Guidestar (if you are a non-profit organization).
If an animal shelter, rescue or sanctuary: List adoptable pets online and spay/neuter all animals prior to adoption.
If sanctuary: Agree to a site visit

To qualify, complete the appropriate application. You will need to upload a copy of your IRS determination letter and or state licences for verification to qualify.

Email giveadogahome.maine@gmail.com with any questions.

I have read and agree to the terms and conditions. By checking this box I am confirming that I am 13 years of age or older.

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GOODS Program Application

Personal Information

Organization Information

Authorized Representatives

Applicant Information

TERMS & CONDITIONS

ANIMAL RESCUE & ANIMAL SHELTER Organizations Section ONLY

FERAL CAT Organization Section ONLY

FOOD PANTRY (Human & Pet) Organization's Section ONLY

HUMANE, COMMUNITY, LAW ENFORCEMENT, NON-ANIMAL ORGANIZATION SECTION ONLY.

What Next ?

ADDITIONAL or SUPPORTIVE Information

Program Information