Shelter name: Jonah s Ark Animal Rescue : hereafter Shelter
|
|
|
- Elijah Morrison
- 7 years ago
- Views:
Transcription
1 Shelter name: Jonah s Ark Animal Rescue : hereafter Shelter I, (name of foster applicant), agree that all statements in this application are made based on personal knowledge and are made for purposes of my application to foster one or more animals through Shelter s foster care program. I would like to foster Shelter-rescued animals. Number of animals I can foster I have a preference for specific animals: If any of the animals I specified are unavailable, I am open to substitution. Restrictions on the type of animal I can foster (For example, No dogs over 30 lbs, Only adult cats, etc.) Where my foster animals will sleep at night: Where my foster animals will stay during the day when I am home: Where my foster animals will stay during the day when I am not home:
2 I understand that Shelter is very concerned about the security and safety of my foster animal and all the animals in its custody, as well as its ability to keep track of all animals rescued. I understand Shelter will not share this information for any reasons not connected to the foster care program or applicable lawsuits. Name: Address: City, State, Zip: Home & Cell Phone * * will be the primary method of communication from Shelter, so if you do not check regularly, please tell us how to best get in touch with you. : City, State, Zip: Home & Cell Phone * * will be the primary method of communication from Shelter, so if you do not check regularly, please tell us how to best get in touch with you. : Social Security Number Drivers License Number State of Issuance Name, address and telephone number of my employer (or business, if self-employed):
3 Business Name Telephone Address: My Position Length of time with this employer I own my home and am permitted to bring an animal or animals into my dwelling. I rent my home and am permitted to bring an animal or animals into my dwelling. Landlord s Name Telephone Address City, State, Zip Length of time at this residence: I have a fenced-in yard. Height of fence What is it made of? The fence has a gate. The gate has a lock. Description of the latching and locking mechanism: I have companion animals at my home currently. I have copied this page or attach separate page of list of animals: (one for each animal), and I have provided details for (1) all companion animals currently at my home, followed by (2) all companion animals I have had at my home in the last 5 years who are no longer with me (including any fostered animals). Details for One Companion Animal Name Age Species (dog, cat, etc) Breed (for dogs only) Gender
4 Currently residing in my home. Lived in my home in the last 5 years, but no longer with me. What happened to him/her? Spayed/Neutered I have bred this animal in the past. I am currently breeding this animal. I had elective surgery performed on this animal Cat declawed Dog debarked Other (specify) Where I got this animal Percentage of time he/she spends outside Where he/she sleeps at night Where he/she stays during the day when I am home Where he/she stays during the day when I am not home Vaccinations administered: When:
5 The name of the veterinarian(s) I use for my companion animals is (if more than one, please list all veterinarians consulted in the last 5 years; provide additional sheets for additional veterinarians): Name of specific veterinarian I use Name of specific veterinarian I use Clinic Name Address Address Telephone Telephone I have been a client of this vet for I have been a client of this vet for Records are under the name of Records are under the name of I have children in the house. Ages:
6 List of all people living in the house and/or who have regular contact with my animal(s) and their relationship to me (include family, friends, domestic employees, etc.): List of two references people who know me (but are not related to me) and my companion animals and have been to my home recently is my Name Relationship Phone : is my Name Relationship Phone : I understand a Shelter representative may visit my home for a home inspection before my foster application is approved. I understand that if I am approved for fostering, I will also need to carefully read the Foster Care Agreement, which is a separate document from this
7 Foster Care Application. The Foster Care Agreement represents the legal contract between a foster caregiver and Shelter. I understand that if I am approved to foster an animal, I must review the Foster Care Agreement before I can take my foster animal home. I further understand that I will be asked to agree to the terms of the Agreement and sign the Agreement before I can take my foster animal home. I have read this Application in its entirety, and I agree that all statements contained in this document are made by me, and are truthful. I make this statement under penalty of perjury under the laws of the state(s) of New Jersey. Signature Date ********************************Office Use Only**************************** Approved: Signature of Owner/Rep:
THE ARK FOSTERCARE PROGRAM
THE ARK FOSTERCARE PROGRAM In order to assist you in finding your new family member, we ask that you read and complete the attached application. ADOPTION REQUIREMENTS: Completed application Waiting period
Applicant: I am interested in the following animal (s): 1: Dog
Applicant: I am interested in the following animal (s): 1: 2: 3. Dog HSMC staff strives to process your application as quickly as possible. Please be sure to carefully read the questions and leave nothing
WAG Dog Adoption Questionnaire
WAG Dog Adoption Questionnaire Help us to find you the right fit! Thank you for taking the time to fill out this application carefully and thoughtfully. Every animal and every home is unique. We use this
IACUC POLICIES, PROCEDURES, and GUIDELINES ADOPTION OF ANIMALS DESIGNATED FOR RESEARCH
Page 1 of 7 IACUC POLICIES, PROCEDURES, and GUIDELINES ADOPTION OF ANIMALS DESIGNATED FOR RESEARCH 131.1 PURPOSE This document establishes policies and provides guidelines for adoption of research animals
Applicant: I am interested in the following animal (s): 1:
Applicant: I am interested in the following animal (s): 1: 2: 3. Cat HSMC staff strives to process your application as quickly as possible. Please be sure to carefully read the questions and leave nothing
Customer Information Sheet
How did you hear about Happy Dogs? Customer Information Sheet Your Name: Address: City State: Zip Home Phone: Work Phone: Cell: Email Address: If we can't get in touch with you who can we call? Contact:
House Rabbit Society Southeastern PA-Delaware Chapter
478 E. Ayre Street Newport, DE 19804 302-683-9009 sepadehouserabbitsociety@gmail.com http://www.rabbit.org/chapters/se-pennsylvania/index.html Please answer the following questions before deciding on your
MEAF PRE ADOPTION QUESTIONNAIRE
MEAF PRE ADOPTION QUESTIONNAIRE Many thanks for your interest in adopting! Our rescued pets deserve a fabulous family.it is important that you, as the future adoptive, understand the long-term commitment
Client Contact Form. Contact 1: Contact 2: Street Address\Unit # City:, State: Zip Code: Home Phone: Work Phone: Contact 1 Cell: Contact 2 Cell:
Client Contact Form Contact 1: Contact 2: Street Address\Unit # City:, State: Zip Code: Home Phone: Work Phone: Contact 1 Cell: Contact 2 Cell: Email Address: Daily Communication (Circle): Text - Email
MONTGOMERY COUNTY RABIES CONTROL AND ANIMAL RESTRAINT ORDINANCE
MONTGOMERY COUNTY RABIES CONTROL AND ANIMAL RESTRAINT ORDINANCE SECTION I. AUTHORITY AND PURPOSE These rules are promulgated pursuant to and in conformity with statutory authority granted to the Montgomery
Contract for Pet Care
Contract for Pet Care Dogsondeployment.org Page 1 Contents DoD Boarder Information... 3 Pet Owner Information... 3 Pet Information... 3 Medical History... 3 Primary Veterinarian Information... 4 Emergency/After-Hours
Kingston 4 Paws Service Dogs
Kingston 4 Paws Service Dogs Wait List Family/Person Application Information outlined in red is required Name of Applicant: Name of Person completing this application: Relation to Applicant: Address of
Animal Ordinances for the City of Columbus, Georgia
Animal Ordinances for the City of Columbus, Georgia If you would like to make a complaint regarding an animal in Muscogee County, please contact our administrative office at: 706.653.4512. The administrative
NOTICE. If you have any additional questions please contact Four Seasons Pet Services at (573) 424-5614. Thank you.
NOTICE Please complete the following service contract, sign and date. You may leave it for your Pet Sitter to pick up at the first scheduled pet-sitting visit, or you may mail it to Four Seasons Pet Services,
SERVICE AGREEMENT. Owner s Name: Address: Home Phone: Work Phone: Cell / Pager: Email: Pet s Name(s): Type of Pet(s): _ Breed(s):
FOUR WHEELS FOUR PAWS Debbie Loewen, owner Cell: 519-816-1535 Email: d.loewen@cogeco.ca debbie@fourwheelsfourpaws.com Website: www.fourwheelsfourpaws.com SERVICE AGREEMENT Initial Consultation Date: Client
Do s and Dont s of Trapping
Do s and Dont s of Trapping Do s and Dont s Of Relocation Never try to catch a feral cat or kitten by hand they can bite if they feel threatened or cornered. Some people do not realize how wild a feral
property owner and manager guide
property owner and manager guide Pet-Friendly Housing Overview FAQ Sample Pet Policy Interview Questions Sample Pet Registration Form A Letter from the BC SPCA: To share with a fellow property owner or
How to Find Homes for Homeless Pets
How to Find Homes for Homeless Pets About is working with you and with humane groups all across the country to bring about a time when there are no more homeless pets. The sanctuary at Angel Canyon, in
PET SITTING SERVICE CONTRACT
PET SITTING SERVICE CONTRACT OWNER INFORMATION Name (Please list all Parents) Address City Zip Cell Phone Work Cell E-Mail Address Emergency Contact Name Number How did you hear about us: PET INFORMATION
THOROUGHBRED RACING VENDOR LICENSE FORM
THOROUGHBRED RACING VENDOR LICENSE FORM Name of Applicant: ----------OFFICE USE ONLY---------- Date: License Year: License.: Cash: / Check.: Credit Card Amount: Total Fees Received: Reviewer: New Renewal
Brook Haven 7781 Crystal Brook Circle * Brooksville, FL 34601 Office (352) 397-4340 Fax (813) 925-4287 RENTAL APPLICATION
Brook Haven 7781 Crystal Brook Circle * Brooksville, FL 34601 Office (352) 397-4340 Fax (813) 925-4287 RENTAL APPLICATION Desired Community Name Desired Move-in Date / /20 Desired Apartment Size (check
Guest Application and Care Agreement Form
Guest Application and Care Agreement Form Date: Owner or Guardian s Name: Address: City: State ZIP Phone Numbers (work) (cell) (home) E-Mail Additional contact name and number How did you hear about Paws
Ramona Humane Society Animal Transfer Program
Ramona Humane Society Animal Transfer Program The Ramona Humane Society (RHS), is a non-profit organization operating an open admission animal shelter, low-cost spay/neuter and vaccine clinics and an animal
Rental Application. Property Location Apt. # Date: Number of Bedrooms Maximum Number of Occupants Date Available / / CONDITIONS OF OCCUPANCY
Rental Application Property Location Apt. # : Number of Bedrooms Maximum Number of Occupants Available / / CONDITIONS OF OCCUPANCY Lease Term Monthly Rent $ Security Deposit $ Rent Begins: / / Prorated
Healthy puppies come from breeders who:
If you re looking for a new dog, check your local RSPCA or other animal rescue group first. There are many wonderful puppies and dogs out there looking for new homes. But if you can t find the right dog
Companion Animals Amphibians & Reptiles Cats Dogs Horses Veterinary Science
Making the Character Connection with Companion Animals Amphibians & Reptiles Cats Dogs Horses Veterinary Science Being a person of good character means you follow the Six Pillars of Character SM everyday.
The Official Dog Walkers and Pet Sitters
Check-Off List Cash and Check payments MUST be in a sealed envelope, in plain view of the Pet Sitter, and not anywhere near the pet's mouth. Failure to make payment prior to services rendered will result
SPECIAL LEASE REQUIREMENTS: Military/Diplomatic Clause: Yes No Contingencies/Special Equipment:
RENTAL APPLICATION (For Use in Montgomery County, Maryland) Applicant s Name: and, if applicable, Co-Applicant s Name: ( the Applicant ) Application is made to lease property located at for monthly rental
Emergency Contact Information
Emergency Contact Information Owner Information Name: Address: City: Home phone: Work Phone: Email: Is it ok to send pictures/updates to this email? Y-N Cell Phone: Emergency Contact Other than yourself
(b) Safeguard and protect property of Taylor County citizens,
Chapter 54 Animal Control Regulations Page 1 of 7 CHAPTER 54 ANIMAL CONTROL REGULATIONS 54.01 PURPOSE. (1) The purpose of this chapter is to: (a) Regulate and control dogs, cats, and other animals within
CLASS ACTION SETTLEMENT CLAIM FORM
01-CA8332 CLASS ACTION SETTLEMENT CLAIM FORM Adkins et al. v. Nestlé Purina PetCare Company et al., Case No. 1:12-cv-02871 (N.D. Ill.); Matin v. Nestlé Purina PetCare Company et al., Case No. 1:13-cv-01512
Puppy Sales Co-Ownership Contract
Sunshine Shilohs Puppy Sales Co-Ownership Contract Anita Tricoli, as a responsible breeder will retain Co-Ownership on all puppies sold by Sunshine Shilohs, herein referred to as the Breeder & Co-Owner
Train Walk Poop Client Contract Training and Daycare Program
Train Walk Poop Client Contract Training and Daycare Program 801-686-8364 www.trainwalkpoop.com Please complete this form and return it to Train Walk Poop or e-mail it to info@trainwalkpoop.com If you
Diocese of Fort Wayne South Bend
Diocese of Fort Wayne South Bend POLICY FOR ALL YOUTH EVENTS INVOLVING OVERNIGHT STAY CONDUCTED OR SPONSORED BY A PARISH, SCHOOL OR ORGANIZATION OF THE DIOCESE OF FORT WAYNE SOUTH BEND At times, schools,
NE Ohio Greyhound Rescue, Inc. Adoption Application PLEASE ANSWER EVERY QUESTION THOROUGHLY
Date: Name: Address: NE Ohio Greyhound Rescue, Inc. Adoption Application PLEASE ANSWER EVERY QUESTION THOROUGHLY City: State: Zip: Home phone: Alt. phone: Best Time to Call: Hm ( ) Alt. ( ) Email address:
Prospect Hills. Mountain View Drive Lebanon, NH 03756 P (603) 622-6223 Ext. 9731 - F (603) 622-7342 www.bradysullivan.com
Mountain View Drive Lebanon, NH 03756 P (603) 622-6223 Ext. 9731 - F (603) 622-7342 www.bradysullivan.com 1 APPLICATION INFORMATION Brady Sullivan Properties takes great care in selecting their residents.
OFFICE CONSOLIDATION Dog Control By-law 2006-27
OFFICE CONSOLIDATION The following is an Office Consolidation as of April 19, 2016 that includes all amendments as per the table below. By-law # Description Date Passed 2006-27 Original By-law March 14,
KENTUCKY DEPARTMENT OF AGRICULTURE
KENTUCKY DEPARTMENT OF AGRICULTURE ANIMAL CONTROL ADVISORY BOARD Animal Shelter Construction and Improvement 2014 Grant Application General Information The Kentucky General Assembly allocated $3,000,000
The Americans with Disabilities Act, the Fair Housing Act, and the Rehabilitation Act of 1973, as amended, ALL apply to domestic violence shelters.
The Americans with Disabilities Act, the Fair Housing Act, and the Rehabilitation Act of 1973, as amended, ALL apply to domestic violence shelters. The Fair Housing Act (FHA) does not use the term service
Planning for Your Pets Care When You Can No Longer Care for Them. Major and Planned Gifts Fact Sheets
Planning for Your Pets Care When You Can No Longer Care for Them Rescue Rehab Rehome Major and Planned Gifts Fact Sheets Major and Planned Gifts Overview Beneficiary Designations Bequests Charitable Gift
Work: SHETLAND SIMEPDOG CLUB OF SOUTTTERN NEVADA SHELTIE RESCUE. Adoption Application. City/State/Zip: E-mail: Employer: May we call you at work?
SHETLAND SIMEPDOG CLUB OF SOUTTTERN NEVADA SHELTIE RESCUE Adoption Application E-mail this application to: SSCSNRescue@gmail.com. Please note that we have the right to refuse any applicant. Cut & paste
Hempfield Township Board of Supervisors
Hempfield Township Board of Supervisors 05/05/2015 MASSAGE THERAPIST APPLICATION Attach the following items at the time of application and renewal. Incomplete applications will not be processed or accepted.
What is the cost of the program? The cost of the program is $2000 payable prior to attending the first class. Payment plans are available.
Overview When may I begin the program? Students may begin the program at any time. Misha May Foundation Dog Training and Rescue Denver s #1 Best Dog Training 3 years in a row! P.O Box 151166, Lakewood,
NEW PATIENT REGISTRATION
NEW PATIENT REGISTRATION PARK TUDOR It is required that ALL minors be accompanied by a parent or legal guardian at the initial visit. PATIENT NAME LAST: FIRST: MI: NICKNAME: DATE OF BIRTH: / / AGE: SSN:
HOMEWARD BOUND ANIMAL PLACEMENT POLICY
Chicago Animal Care and Control (CACC) protects public safety and ensures the humane care of animals through sheltering, pet placement, education and animal law enforcement. HOMEWARD BOUND ANIMAL PLACEMENT
All Foster / Adoptive Parent Applicants must complete the following prior to Becoming a Licensed Homebound Parent
All Foster / Adoptive Parent Applicants must complete the following prior to Becoming a Licensed Homebound Parent 1. Please completely fill out your foster parent applications, if you have any questions
Loans. What do you Want to Buy? Overhead 3-A. Beginner & Low-Intermediate Materials
Loans Beginner & Low-Intermediate Materials Pre-reading What do you Want to Buy? Overhead 3-A Put a check ( ) next to the pictures of the things you might want to have or do. www.valrc.org/courses/moneytalks
Policies and Agreement Contract
Policies and Agreement Contract GENERAL Kelsey s Companion Care For the purposes of this document, the term client means the person(s) owning the home and pet(s) and entering into contracted services for
Model Animal Control Law
Model Animal Control Law Presented by NAIA Preamble This model law is compatible with the NAIA Guide to Pet Friendly Ordinances but is more detailed and is written in more formal language. Like the guidelines,
The City of La Mesa Rides4Neighbors 5-page application packet is enclosed. Please check off each item as you complete the application:
Dear Rides4Neighbors Applicant: The City of La Mesa Rides4Neighbors 5-page application packet is enclosed. Please check off each item as you complete the application: 2-Page Transportation Application
Chapter No. 765] PUBLIC ACTS, 2004 1 CHAPTER NO. 765 HOUSE BILL NO. 3229. By Representatives West, Marrero. Substituted for: Senate Bill No.
![Chapter No. 765] PUBLIC ACTS, 2004 1 CHAPTER NO. 765 HOUSE BILL NO. 3229. By Representatives West, Marrero. Substituted for: Senate Bill No.](/thumbs/24/3801421.jpg "Chapter No. 765] PUBLIC ACTS, 2004 1 CHAPTER NO. 765 HOUSE BILL NO. 3229. By Representatives West, Marrero. Substituted for: Senate Bill No.")
Chapter No. 765] PUBLIC ACTS, 2004 1 CHAPTER NO. 765 HOUSE BILL NO. 3229 By Representatives West, Marrero Substituted for: Senate Bill No. 2840 By Senator Cohen AN ACT to amend Tennessee Code Annotated,
YOUTH MENTORING PROGRAM. Mentee Application (To Be Completed by the Parent/Guardian)
Personal Information YOUTH MENTORING PROGRAM Mentee Application (To Be Completed by the Parent/Guardian) Youth s Name: Date: Parent/Guardian Name: Relationship to Youth: Mother Father Other, specify: Street
CHAPTER 7. 1. Section 2 of P.L.1999, c.336 (C.56:8-93) is amended to read as follows:
CHAPTER 7 AN ACT concerning the sale of cats and dogs, and amending and supplementing P.L.1999, c.336. BE IT ENACTED by the Senate and General Assembly of the State of New Jersey: 1. Section 2 of P.L.1999,
The Jefferson County Board of Supervisors does ordain as follows:
ORDINANCE NO. 24 The Jefferson County Board of Supervisors does ordain as follows: 24.1 TITLE. This ordinance shall be known and cited as the Jefferson County Rabies Control Ordinance. 24.2 PURPOSE. Medical
CATS and WILDLIFE HOW YOU CAN PROTECT BOTH
CATS and WILDLIFE HOW YOU CAN PROTECT BOTH Where is your cat right now? Could it be harming native wildlife? Is it roaming in your neighbour s yard? Is it crossing a busy road? Could it be returned to
VETERINARY TECHNICIAN
MICHIGAN CIVIL SERVICE COMMISSION JOB SPECIFICATION VETERINARY TECHNICIAN JOB DESCRIPTION Employees in this job perform various tasks to facilitate and support the work and research of professional veterinarians,
Where can you find information?
Department History Professional Grooming and Animal Care (formally Pet Grooming) began in 2002. Veterinary Assistant program was added in 2004 to the newly formed Animal Studies department. Moved into
APARTMENT HUNTERS PROPERTY MANAGEMENT TENANT APPLICATION PROCEDURE
APARTMENT HUNTERS PROPERTY MANAGEMENT TENANT APPLICATION PROCEDURE Thank you for choosing Apartment Hunters. In order to complete the application process quickly, be sure to read this completely and follow
An estimation of the time and costs involved in keeping rabbits
An estimation of the time and costs involved in keeping rabbits This factsheet is intended to give current rabbit owners and potential owners an idea of the commitment involved in keeping rabbits well,
EMPLOYMENT APPLICATION {PLEASE Print Clearly}
Date Received: Next Step: EMPLOYMENT APPLICATION {PLEASE Print Clearly} Date: Position applied for: Personal Information Legal Name: First Last Middle Initial Address: Street City State Zip code How long
Chapel Hill Presbyterian Church - Employment Application
Chapel Hill Presbyterian Church - Your interest in Chapel Hill Presbyterian Church ( Chapel Hill ) is appreciated. We invite you to complete the following application and return it as soon as possible.
SUPERIOR COURT OF CALIFORNIA COUNTY OF SUTTER
SUPERIOR COURT OF CALIFORNIA COUNTY OF SUTTER M. B. Todd Court Executive Officer 463 Second Street, Yuba City, CA 95991 Civil Division CHILD CUSTODY INVESTIGATION QUESTIONNAIRE This questionnaire will
RENTAL HISTORY REQUIREMENTS
Rental Criteria Thank you for choosing RPM as your potential landlord. Residential Property Management strongly supports all applicable Federal and Fair Housing Laws in both spirit and practice. All policies
Children s Hospital Los Angeles Application for Volunteer Service (Adult 18+)
Children s Hospital Los Angeles Application for Volunteer Service (Adult 18+) PLEASE TYPE DATE First Name Middle Name or Initial Last Name Street Address City Zip Social Security Number Birthday (Month/
HOUSING RIGHTS FOR DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING SURVIVORS
HOUSING RIGHTS FOR DOMESTIC VIOLENCE, SEXUAL ASSAULT AND STALKING SURVIVORS Your landlord may not discriminate against you because you are a victim of dating or domestic violence, sexual assault or stalking.
Relationship. Initial:
The Bow Wow Barn, LLC Enrollment Form and Contract Owner Information Name Significant Other Address City State Zip Home Phone Work Cell Email Address Do you have a Facebook page? How did you hear about
Adopting an Under-Socialized Dog
3100 Cherry Hill Road Ann Arbor, MI 48105 734-662-5585 www.hshv.org Adopting an Under-Socialized Dog Congratulations you have saved a very special life! Bringing an under-socialized dog into your home
Qualifying Criteria for Resident Selection
Qualifying Criteria for Resident Selection 1. Minimum rent to household income ratio (3 times the monthly rent) 2. Minimum period of employment with current employer (12 months during the preceding two
Pet Responsibility Lesson Plan
Pet Responsibility Lesson Plan Grades: 6-9 Ages: Time: 11-14 years These six lessons can be modified to meet various time constraints. Character Pillars: Standards: Responsibility Fairness Standard Area
ANIMAL CARE AND CONTROL Community Service Starter Packet
Attachment 1 ANIMAL CARE AND CONTROL Community Service Starter Packet ALL PAPEWORK MUST BE SIGNED, COMPLETED, RETURNED AND APPROVED PRIOR TO STARTING YOUR COMMUNITY SERVICE HOURS AT ANIMAL CARE AND CONTROL.
Thank you for requesting an application for an apartment. Enclosed, please find an application package.
Dear Applicant, Thank you for requesting an application for an apartment. Enclosed, please find an application package. Please read the application carefully, complete every section, and date where indicated.
DIVORCE - WITH MINOR CHILDREN For Respondent Only
DIVORCE - WITH MINOR CHILDREN For Respondent Only Response Part 3: Respond to a Divorce Petition (Forms Packet) Superior Court of Arizona in Maricopa County Packet Last Revised December 2008 DRDC3fc -
Solving the Problem of Dog Bites
Solving the Problem of Dog Bites Breed Bans A program to prevent dog bites must be legal, fair and effective. Breed bans are unfair Penalize thousands of good dog owners to penalize a handful of irresponsible
Veterinary Technician
Position Description POSITION TITLE: DEPARTMENT: Animal Care EMPLOYMENT CLASSIFICATION: SUPERVISOR/MANAGER: REVISION DATE: Non-Exempt Shelter Manager January 2005 BASIC FUNCTION OF THE POSITION: Ensures
Requirements in Summary
ECUADOR IMPORT RULES AND REQUIREMENTS Before beginning the import procedures, make sure that your vet is approved by the Government Veterinarian Authority in the country of origin. For example, if an animal
Proposed Method of Payment: Self Pay VA Assistance Financial Aid Bright Futures Florida Prepaid Paid Agency Sponsor/Agency Name:
Recruit Application Applicant Name: Street Address: Daytime telephone: Cell phone: E-Mail : @ Sex: Race: Social Security #: BAT Score: Desired Class: Law Enforcement Basic Recruit Program (Day Class) Law
SAMPLE SUPPORTIVE HOUSING INTAKE/ASSESSMENT FORM
SAMPLE SUPPORTIVE HOUSING INTAKE/ASSESSMENT FORM (This form must be completed within 30 days of program entry) IDENTIFYING INFORMATION Date Information is Gathered: 1. Applicant Last Name: First Name:
Kentucky Motor Vehicle Commission SALESPERSON LICENSE APPLICATION IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL
IMPORTANT NOTICE REGARDING ALL SALES PERSONNEL All persons employed by a dealership in a sales capacity, even if on a temporary basis, and those individuals identified in 605 KAR 1:050 Section 5 must be
The economic importance of companion animals
The economic importance of companion animals FECAVA (The Federation of European Companion Animal Veterinary Associations) February 2007 Ellen Bjerkås DVM PhD Dipl ECVO Professor, Norwegian School of Veterinary
Toll Free: 1-877-PET-MOVE.:. email: info@petrelocation.com
RULES AND REQUIREMENTS FOR PET IMPORT INTO FINLAND Following are the requirements for Prior Approval for Pet Cats/Dogs entering FINLAND All rules and requirements below must be in the following order:
Rio Homes Permanently Affordable Homes Application Process
Rio Homes Permanently Affordable Homes Application Process Thank you for your interest in the third phase of the Rio Homes. This partnership between AZNORTH Development, Inc. and the City of Flagstaff
Single Mom s House Application
Single Mom s House Application The Single Mom s House is a ministry of Liberty Bible Church in Chesterton, Indiana. This is a place where you can experience growth and restoration as you move toward self
South Putnam Animal Hospital, Pllc 230b Baldwin Place Road Mahopac, NY 10541 845-628-1834
South Putnam Animal Hospital, Pllc 230b Baldwin Place Road Mahopac, NY 10541 845-628-1834 We are looking forward to seeing you and your dog for his/her surgical appointment. Please arrive between 9 and
Other Important Information. Apply On-Line!
Application Form 101 4555 Kingsway, Burnaby, B.C. V5H 4V8 Phone: 604 433-2218 Toll-Free: 1-800 257-7756 Fax: 604 439-4729 Purpose of this Form This form collects personal information in accordance with
How to Find Homes for Homeless Pets
How to Find Homes for Homeless Pets About Leading the way toward No More Homeless Pets is working with you and with humane groups across the country to put an end to the killing in our nation s animal
COMPANY NAME CONTACT NAME TELEPHONE NUMBER DENIAL REASON APPLICANT S MAILING ADDRESS: CITY STATE COUNTY ZIP TELEPHONE
DWELLING FIRE / HOMEOWNERS PROPERTY INSURANCE APPLICATION Indiana Basic Property Insurance Underwriting Association 8777 Purdue Road, Suite 360, Indianapolis, IN 46268 (317) 264-2310 or (800) 888-8627
Last name: State/ Province: Home telephone number:
60 Ages & Stages Questionnaires 57 months 0 days through 66 months 0 days Month Questionnaire Please provide the following information. Use black or blue ink only and print legibly when completing this
Client Information Bariatric Surgery Support Group
Client Information Bariatric Surgery Support Group (Please Print) Therapist: Rhonda Scarlata, LCSW Name first middle last Date Age Date of Birth Sex: Male Female Home Address street city state zip Cell
CUSTOMER INFORMATION BULLETIN
DEPARTMENT OF COMMUNITY AND ECONOMIC DEVELOPMENT Attachment A CUSTOMER INFORMATION BULLETIN REQUIREMENTS FOR KEEPING PETS AND OTHER ANIMALS 1055 South Grady Way-Renton, WA 98057 Phone: 425-430-7200 (then
LEAGUE CITY VOLUNTEER FIRE DEPARTMENT
LEAGUE CITY VOLUNTEER FIRE DEPARTMENT 555 W. Walker Phone 281-554-1465 Dear Applicant: Thank you for your interest in becoming a member of the League City Volunteer Fire Department. Our success as a community
EXCLUDED HEREDITARY CONDITIONS BY BREED *
EXCLUDED HEREDITARY CONDITIONS BY BREED * CATS Please refer to your policy for a full list of exclusions that apply to all breeds, including mixed breed cats. *We regard these conditions as hereditary
Medical Malpractice, Professional Indemnity & General Liability Proposal Form for Veterinarians and Veterinary Practices
Medical Malpractice, Professional Indemnity & General Liability Proposal Form for Veterinarians and Veterinary Practices 1. This proposal form has been compiled provide the insurer with as much detail
Humane Ohio: Obtaining Public Funding for a Spay/Neuter Program
Humane Ohio: Obtaining Public Funding for a Spay/Neuter Program Compiled by ASPCA and PetSmart Charities and distributed to the field, September 2007. Visit the ASPCA National Outreach website for animal
GUARDIAN PROPERTIES LLC RENTAL APPLICATION PROPERTY MANAGEMENT DEPARTMENT
10 North Jefferson Street, Suite 405, Frederick, MD 21701 Office 301-694-9600 Fax: 301-694-9609 www.guardianpropertiesllc.com GUARDIAN PROPERTIES LLC RESERVES THE RIGHT TO PULL YOUR CREDIT REPORT(S) APPLICATION
Animal Law in New York State
NEW YORK STATE BAR ASSOCIATION Animal Law in New York State LEGALease Introduction This pamphlet is presented by the New York State Bar Association Special Committee on Animals and the Law. It is intended
Fill out the Respite Application that is included in this packet.
The South Carolina Chapter of the Alzheimer s Association is pleased to provide financial support for those caring for patients with Alzheimer s disease or related disorders. Thank you for inquiring about
EASTERN FLORIDA STATE COLLEGE PUBLIC SAFETY INSTITUTE
EASTERN FLORIDA STATE COLLEGE PUBLIC SAFETY INSTITUTE Application for the 911 Public Safety TelecommunicatorAcademy RETURN THIS ENTIRE APPLICATION AND ALL REQUESTED SUPPORTING DOCUMENTATION IN PERSON OR
Pet Insurance Fact Sheet
Pet Insurance Fact Sheet What is Pet Insurance? Pet insurance or pet health insurance helps cover the cost of medical expenses should your pet become ill or have an accident. Some pet insurance companies
THE CORPORATION OF THE CITY OF BELLEVILLE BY-LAW NUMBER 2005-206
THE CORPORATION OF THE CITY OF BELLEVILLE BY-LAW NUMBER 2005-206 A BY-LAW TO PROVIDE FOR THE LICENSING, REGULATION AND REGISTRATION OF DOGS, WITHIN THE CITY OF BELLEVILLE WHEREAS the Municipal Act, 2001
A Guide To Create A Successful Adoption Experience
A Guide To Create A Successful Adoption Experience Adoption counseling is about making life long matches between people and pets. Your goal will be to use appropriate communication techniques to gather