Safe Coalition Application
By providing email address information in this application you are agreeing to receive communications about the Safe Coalition.
Name of Organization
Government Animal Services
Animal Shelter with a Government Contract
Animal Rescue with a Government Contract
Shelter without a Government Contract
Rescue without a Government Contract
Private Friends of a Municipal Shelter
Spay/Neuter Only Group
Intake Prevention Organization
Address - Physical Location
Enter N/A in these fields if you do not have a physical location that is open to the public.
Address - Mailing
Same as Physical Location Address
If yes, you can leave remaining address fields blank.
Organization Mission Statement
Does your organization have a physical facility (either shelter, clinic, or other)?
How many active foster homes does your organization have (approximately)?
Enter 0 if none.
Does your organization do off-site or mobile adoptions?
These can be at local stores like PetSmart or Petco, or other non-shelter locations.
If yes, where do you do them?
This info will not be shared publicly, it's for Coalition use only. You can provide up to 3 contacts below.
Main Contact Name
This person will be the primary contact for all coalition communications.
Main Contact Title
Main Contact Email
This email address will receive all coalition communications.
Contact 2 Name
Contact 2 Title
Contact 2 Email
Contact 3 Name
Contact 3 Title
Contact 3 Email
Attach Coalition Memorandum of Understanding
All organizations are required to sign and attach the Coalition MOU. You can use this link to access the MOU:
Please download the file, sign it, save it, and attach it to this application. The director (or equivalent) of your organization should be the signer.
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