BCSA RESCUE GRANT APPLICATION
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Rescue Group Name:
Address:
City/State/Zip:

Telephone:
E-mail:
Confirm E-mail:
Web Site (if any)
BCSA Member Name
and Contact Info:


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Briefly describe your and your group's proposed project and how it relates to education, advertising/promotion,
or medical/veterinary care of border collies currently in rescue or foster homes.
Briefly describe your or your group's proposed project and how it relates to education and/or advertising/promotion.
 
FUND USE:
Please provide an accounting of how you intend to use the funds to advance your proposed project.
Description... Amount...
Please provide copies of the following documents, if available:
  1. Documentation of not-for-profit status from the state where incorporated (if available).
  2. A list of Board members and officers and list of volunteers (if a group):
  3. A list of dogs taken in and their current status (e.g., adopted, euthanized, still in foster care) over the past two years.
  4. An accounting of expenditures over the past two years.  This accounting does not have to be detailed, but does need to indicate how much income has been generated through adoption fees, donations and fundraising efforts and how much has been spent on supplies, dog care, etc.
  5. Copies of adoption applications and contracts, plus written documentation of screening procedures.

 
I have read and agree to the terms of the application for rescue funds.

Applicant Signature: _______________________________________    Date:  ______________

BCSA Member Signature: ___________________________________   Date:  ______________
Mail to: BCSA Corresponding Secretary
Office Use Only: Received _______________________ 
 Form Rev 3.2006