Placement Partner Application Form

Thank you for your interest in working with Animal Rescue Corps! We couldn’t do this work without the help of our dedicated placement partners across North America. If you are a 501(c)(3) non-profit shelter, sanctuary, rescue, or foster network and you are interested in becoming an approved ARC placement partner, please complete the following application.

To save your work and continue filling out the application form at a later time, select the option next to the submit button at the end of the application.

For a downloadable, printable version of the application, click here. Send any questions by email to: placement@animalrescuecorps.org.

Collaboration Saves Lives.

Thank you very much.

Organization Information

Organization Name(Required)

Organization Physical Address

Street Address Address Line 2 City State ZIP Code

Use Physical Address as Mailing Address

Yes

Organization Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Organization Mission

Contact Information

Organization Pres./Dir. Name

First Last

Title

Phone

Alternate Phone

Fax

Primary Contact Name(Required)

First Last

Title

Phone

Alternate Phone

Email(Required)

Fax

Secondary Contact Name

First Last

Title

Phone

Alternate Phone

Fax

Operational Details

Place an “X” next to the description(s) that best fits the organization – you may choose more than one:

Government Agency

Govt. Agency partnered with a 501(c)(3)

Private Shelter

Private Shelter w/ govt. contract

Private Rescue

Private Sanctuary

Breed-Specific Rescue

Other (Please Specify)

Other:

Year Founded

Annual Operating Budget

Is the organization operated by a board?

Yes

How many members are on the board?

Is the organization a registered 501(c)(3) non-profit?

Yes

If yes, please provide your federal tax ID#:

If no, is the organization in the process of registering for 501(c)(3) status?

Yes

Does the organization have insurance?

Yes

Number of employees (or volunteer directors/managers):

Number of active volunteers:

Intake, Care, and Placement

The organization provides placement for the following type(s) of animal(s):

Other:

Does the organization accept animals with known medical conditions?

Yes

Are there any medical conditions that your organization cannot treat?

Does the organization accept animals with known behavior issues?

Yes

If yes, please specify what behaviors the organization is able to address:

Please also specify the behaviors the organization is NOT able to address:

Please list any additional intake restrictions (breed, age, etc.):

Where do animals initially go upon intake?

What is the organization’s quarantine process (period/location)?

When do animals first see a veterinarian?

Does the organization have a veterinarian on staff and/or a clinic on site?

Yes

When are animals sterilized?

Are animals of appropriate species/age/health status sterilized before adoption?

Yes

If no, or if there are exceptions, please explain:

Are animals too young / of a species inappropriate for sterilization adopted out?

Yes

If yes, please explain how the organization assures sterilization occurs (or assures breeding will not occur if the animal is not a candidate for sterilization because of health status or breed):

When are animals assessed behaviorally (and are they reassessed at any time)?

Does the organization provide behavior training / modification?

Yes

If yes, please describe the organization’s training philosophy and practices (or link to your trainer’s professional website):

Does the organization’s philosophy and practices allow for the use of choke or prong collars or punishment-based training methods?

Yes

If yes, please describe the use of these tools/methods:

When are animals made available for adoption?

Does the organization offer sanctuary/hospice for animals unable to be adopted?

Yes

If yes, please describe what qualifies an animal for sanctuary/hospice care / what makes them “unadoptable”, where they are housed, and any other details about the program:

Is the organization currently housing any animals, either in a facility or in foster homes, who have been deemed dangerous?

Yes

If yes, please explain:

What course of action is taken if the organization accepts an animal who, following intake, starts to display a “treatable” behavior or medical issue that the organization is unable to address?

Describe the organization’s euthanasia policy:

What are the organization’s adoption fees and what is the philosophy behind those adoption fees? (Please include whether the organization differentiates between “pure breed” vs. “mixed breed” animals.)

Please describe the organization’s adoption process (home visits, vet checks, landlord checks, etc.):

What requirements are placed on an adopter? (animals must be housed indoors, animals currently in the home must be up to date on vaccinations and sterilized, etc.)

Under what circumstances will the organization deny an application?

What is the average percentage of adopted animals who are returned to the organization?

Housing

Does the organization use private boarding facilities?

Yes

Does the organization make use of foster homes?

Yes

If yes, how many active foster homes does the organization currently have?

If the organization utilizes boarding facilities, in what circumstances do you use them? (Overflow animal housing, when fosters are out of town, temporarily while a foster home is secured, etc.):

If the organization utilizes boarding facilities, what is the average length of stay for an animal?

Transport

Are employees or volunteers of the organization able to pick up animals from an Animal Rescue Corps operation, depending on timing and location?

Yes

If yes, please describe how many can be transported at a time of each species the organization accepts:

If yes, how far is the organization able to travel to pick up animals? (specify m or km)

Community Relationships / References

Veterinary clinic working with the organization:

Veterinarian:

Phone

Additional Clinic:

Veterinarian:

Phone

Other animal protection organizations the organization partners with:

Contact Name:

Phone

Additional animal protection partner:

Contact Name:

Phone

Name of foster(s) family and/or Adopter(s) willing and able to provide a reference:

Foster or adopter?

Phone

Name of foster(s) family and/or Adopter(s) willing and able to provide a reference:

Foster or adopter?

Phone

Documentation Required

Please attach: 1) The organization’s IRS determination letter, if applicable. 2) The organization’s adoption and foster application, if applicable. 3) The organization’s adoption contract, if applicable. 4) The organization’s applicable licenses as required by their city, county, and/or state, including, but not limited to, a kennel license or a license to maintain, rehabilitate, and release wildlife. 5) Any other documentation or information you would like to share with us.

Drop files here or

Max. file size: 300 MB.

Other details, links to online applications, etc.

Consent(Required)

By submitting this document, I certify that the information given is complete and accurate to the best of my knowledge. I also acknowledge that acceptance as a placement partner does not imply endorsement. The terminology used to describe participating organizations does not infer any legal partnership or joint venture. I certify that I am authorized to sign this Application on behalf of the aforementioned organization.

Comments

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

Our team will review your application and be in touch. Thank you for the work you do for animals; your compassion makes a difference.

We’re here to help you help animals.

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Animal Rescue Corps, 1380 Monroe St. NW #326, Washington, DC 20010

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Placement Partner Application Form

Organization Information

Contact Information

Operational Details

Intake, Care, and Placement

Housing

Transport

Community Relationships / References

Documentation Required

BE A HERO – GIVE

BE A HERO – VOLUNTEER

BE A HERO –
GIVE

BE A HERO –
VOLUNTEER