| Shelter Transfer Program | |||||||||
| The Crawford County Humane Society is an open door animal control. We work with Rescue groups and shelters in order to help the animals that come into our shelter find premanent placement. While the shelter tries to place animals through our shelter first there are far more animals then local placements can provide for. Animals are available for transfer to other shelters and rescues after their legal holding period is up at the shelter. Our shelter transfer program has continued to grow over the years. We encourage new groups to join our program. We offer transport usually weekly to assist in getting our animals closer to other groups. We ask that all groups interested in pulling animals from our shelter complete the applcation below to be considered for inclusion in our program. |
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| Please complete and mail, fax or email back to the Crawford County Humane Society at 911 East Wilkin, Robinson IL 62454, Fax 618 544 8698, Email cchumanesociety@yahoo.com Organization Name________________________________________________________________________ Address___________________________________City_________________State___________ Zip Code____________ Telephone___________________ Fax__________________________ Email Address_________________________Website _________________________________ License Information (Copy of each applicable required) State of Illinois License Number______________________________ 501 c3 Non Profit License Number____________________________ Contact Information Please complete for each person that will be acting on behalf of the organization. If more then four please attach another sheet of paper. Only those persons listed in this section will be able to make arrangments for pulling animals. Name_______________________________ Name________________________________ Address_____________________________ Address_________________________________ Fax_________________________________ Fax_________________________________ Email_______________________________ Email_________________________________ Name_______________________________ Name__________________________________ Address_____________________________ Address_________________________________ Fax_________________________________ Fax__________________________________ Email________________________________ Email__________________________________ |
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| Type of Organization List species, specific breed and or if mixed breeds are accepted. List age ranges and if special needs are accepted:______________________________________________________________________ _________________________________________________________________________________ Number of Volunteers______ Staff members________ Years in operation_________ Geographic area covered for adoptions__________________________________________________ Facility Information Type of housing offered. Check all that apply ___Foster Homes ____Indoor Kennels ____Outdoor Kennels ____Kennel/Cattery ___Boarding ___Other_________________________________________________________________________ Type of Services offered. Check all that apply. ____Breeder ____Referral ____ Rescue ____Foster ____Other______________________ Does your organization have an age requirement for adopters ___Yes ____No If yes please specify age limit__________________________ List capacity for Dogs_____________ Cats____________ Other_____________ Are there any circumstances under which you would deem an animal to be non-placeable with the general public? ___Yes ___No If yes does your organization use euthanasia as an option ___Yes ___No. Under what circumstances does your organization euthanise animals__________ ________________________________________________________________________________ ________________________________________________________________________________ Does your organization use microchipping? ___Yes ____No Do you spay/neuter all animals before releasing to a new adoptive home? If not what animals do you release unsterilized. How do you track those animals that are not altered prior to adoption to determine they are altered as planned? ___________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ |
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| Page 2 Shelter Transfer Program | |||||||||