Greater Good - GOODS Program Recipient Application

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To qualify for the GOODS Program through Ambassador Fresno Humane Animal Services, please fill out the form below.

Once you submit the form please email your IRS Determination Letter and Form 990 from the last 3 years to kortega@fresnohumane.org

A GOODS Representative will notify you in writing if you have been accepted or denied.

Email *

Name of your organization *

Type of organization *

Food bank

Pet food pantry

501(c)3 animal rescue

State, county, or regional animal welfare facility

Law enforcement agency (Animal Control)

Housing

Community resource outreach

Domestic violence shelter/resource

Women and children shelter/resource

Federal government agencies including Veterans Affairs and Federal Emergency Management Agency

State and local community programs and offices

Other:

Non-Profit Tax ID# *

Organization's Address (not PO Box) *

Organization's Email *

Name of Applicant (who is completing this form?) *

Applicant's Position at Organization *

Organization's Phone Number *

Mission Statement *

Average monthly need for dog food (lbs) *

Average monthly need for cat food (lbs) *

Does the organization spay/neuter all pets prior to adoption? *

Yes

Not Applicable

Website link to adoptable animals (if not a rescue/shelter, put N/A) *

Describe your adoption programs *

Number of employees *

Number of volunteers *

Facility Location, if any *

Does your organization have a contract to provide animal services? If yes, for which city/county? *

Is the organization affiliated with any other feeding programs? If yes, which programs? *

Please list any other food sources *

Does your organization have their own resale or thrift store? *

Yes

Why is your organization requesting support from the Goods Program? *

Please list one or more references for your organization that we may contact. For animal welfare groups, please list a veterinary reference and/or a government representative from your contracted city/county.

Please provide name, phone number and email.

Please list your Board Members' Names and email addresses or phone numbers *

Applicant's Phone Number *

Applicant's Email *

Send me a copy of my responses.

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