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Molly-Dharma Run Shelter Application
Please fill out the form to the best of your ability. Keep in mind some questions are what we consider nice to have versus hard requirements during our shelter selection process.
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* Indicates required question
Email
*
Your email
Rescue Organization Name:
*
Your answer
Rescue Organization Address:
*
Your answer
Rescue Organization Contact
Name:
*
Your answer
Title:
*
Your answer
Phone Number:
*
Your answer
Volunteer Coordinator Contact:
Name:
*
Your answer
Title:
*
Your answer
Phone Number:
*
Your answer
Shelter Details:
Rescue Organization Website/Facebook Page/Twitter:
*
Your answer
Employer Identification Number (EIN):
*
Your answer
Average monthly intake of animals:
*
Choose
1-10
10-50
50-100
100-500
500+
Average monthly adoption of animals:
*
Choose
1-10
10-50
50-100
100-500
500+
Average monthly euthanasia of animals:
*
Choose
0 (None)
1-10
10-50
50-100
100-500
500+
Does the shelter qualify as a No-kill shelter?
*
Yes
No
Annual revenue for last available year, including all sources of revenue:
*
Your answer
Hours of Operation:
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Your answer
Attach a statement describing your organization, its history, mission statement.
*
Your answer
What do you plan to use the Event money for?
*
Example: Food, Surgeries, Transportation, etc.
Your answer
Attach a statement describing your activities within the community, efforts to adopt out animals, efforts to increase awareness of your organization and/or the need for spay/neuter, etc:
*
Your answer
Attach a statement describing how your organization will take an active part in the Molly-Dharma Run, including pre-event promotion and the Run itself, including involvement of volunteers:
*
Your answer
The Molly-Dharma Run frequently attracts up to 300 motorcycles, so having the space for for these riders to visit our winning shelter is ideal. Though not a hard requirement, it offers the riders an opportunity to see your shelter and meet the animals available for adoption.
Do you have space for the ride participants to visit?
*
Yes
No
Do you have a raffle license?
*
Yes
No
Would we be able to visit and discuss the shelter on a Saturday or Sunday in December or January for the selection process? What days would work best?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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