© iStockPhoto

To apply for a grant from The Humane Society of the United States' Foreclosure Pets Fund, please fill out the form below. All fields are required.

If your organization has already submitted an application, you do not need to re-apply. Your application will be kept on file and reviewed as funds permit.

Please Note: If your organization is selected to receive a grant from The Humane Society of the United States you will need to supply a completed IRS form W-9 and a copy of your 501(c)3 determination letter or a written statement from your municipality's legal counsel confirming your agency's ability to receive grant monies for designated purposes. For additional information, please see the program guidelines.

Organization Name
Mailing Address
City
State
Zip Code
Phone Number
Executive Director
Contact Name
Contact Phone Number
Contact E-mail Address
What is your operating budget for the current fiscal year?
Please list at least two current major areas of concentration (outside of economic downturn issues) and describe briefly the programs and activities being utilized to accomplish your objectives in each category.
Does your organization have a contract to provide animal holding or animal control services?	Yes  No
If yes, please describe:
Does your organization have a Plan of Cooperation?	Yes No
If yes, please list the partner organization and briefly describe the plan. (If you are selected for a grant you will be required to provide a copy of the Plan of Cooperation.)
Please indicate the number of animals handled by your organization during January 2006 – December 2006:
Cats
Dogs
Other
Please indicate the number of animals handled by your organization during January 2007 – December 2007:
Cats
Dogs
Other
Amount requested (maximum $2000)
Please describe the program you wish to receive grant funds for. Grants will be provided on an ongoing basis as funding allows.