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Shelter PALS Registration Form
Consent
*
Thank you for your interest in working with the San Francisco SPCA’s Shelter Policy and Legal Services (“Shelter PALS”) program.
Shelter PALS provides free legal and policy aid to California animal shelters and rescue groups. We evaluate requests for assistance as they are received, and our help is offered on a rolling and space-available basis.
In order to help you, we need to know some general information about your organization. This helps us when we evaluate any legal claim for your group. Shelter PALS keeps your information confidential, unless we have your permission to share.
If you need help filling out this form, please contact us at shelterpals@sfspca.org.
Once the form is completed and submitted (you should see a message on the website that says your submission has been successful), a Shelter PALS representative will be in touch with you to discuss next steps.
Filling out this form is only the first step in assessing whether your organization may be eligible for our services, and it does not mean that Shelter PALS has agreed to work with you. No attorney-client relationship is created by filling out this form.
Anyone filling out this form must meet the following criteria:
• 18 years of age or older
• Authorized to act on behalf of your organization
• Your organization is located in California
I have read the above information and agree to the above terms on behalf of my shelter.
This form takes about 15 minutes to complete.
Basic Information
Name of Organization
*
Type of Organization
*
Municipal Shelter
Private Shelter
Hybrid (Private shelter with municipal contract)
If municipal shelter, what branch of government does the shelter fall under? (ex: Police or Sheriff, Administrative Services, etc.)
*
EIN #
*
Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Is your Mailing Address the same as your Street Address?
*
Yes
No
Street Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Website
Name of Executive Director/CEO (or equivalent)
*
First
Last
Phone
*
Email
*
Title
*
Number of years in this position
*
Additional Contact
*
First
Last
Title
*
Email
*
Phone
*
Number of years in this position
*
Primary Contact
*
(select one)
Executive Director / CEO
Second contact listed above
Legal counsel used for animal issues, if any. If a municipal shelter, please provide the contact information for the city or county counsel assigned to your shelter.
*
Services Provided
Services Provided for Dogs and Cats by Your Shelter
*
(check all that apply)
Animal Control / Field Services
Animal Shelter Care
On-site volunteering
Offsite volunteering (ex: fostering)
Feral/Community Cat Program
On-Site Veterinary Services for Shelter Animals
On-Site Veterinary Services for Publicly-Owned Animals (ex: spay/neuter, vaccine clinics)
Off-Site Veterinary Services for Shelter Animals
Animal cruelty and/or animal fighting investigations
What municipalities do you provide Animal Control / Field Services for?
*
If for local government, what municipalities do you provide Animal Shelter / Care services for?
*
Please explain the off-site veterinary services for shelter animals that you provide.
*
Is your organization located in a county with a population of less than 100,000 people?
*
Yes
No
Annual Statistics Report for Dogs and Cats
Live Intakes (Dogs)
*
Live Outcomes (Dogs)
*
Other Outcomes (Dogs)
*
Owner-Intended Euthanasia (Dogs)
*
Live Intakes (Cats)
*
Live Outcomes (Cats)
*
Other Outcomes (Cats)
*
Owner-Intended Euthanasia (Cats)
*
Link to your shelter’s statistics online (if applicable)
Operations
Annual operating budget
*
Number of full-time employees
*
Number of part-time employees
*
Number of volunteers
*
Notable partnerships with other shelters or organizations
(ex: “Friends of the Shelter” group, SF SPCA CHATT partner, Best Friends Network Partner, UC Davis C4C Bootcamp) - if any, please explain
Legal Issues
Legal Issues Interested In
*
(check all that apply)
Community/feral cats program
Cat intake education
State holding periods
Government contracting
Revised sheltering agreements (ex: volunteer, adoption, foster, etc.)
Telehealth for shelter animals
Volunteer program (includes foster)
Other
You selected Other legal issues. Please explain
*
Of the above issues identified, our #1 top priority issue is:
*
Community/feral cats program
Cat intake education
State holding periods
Government contracting
Revised sheltering agreements (ex: volunteer, adoption, foster, etc.)
Telehealth for shelter animals
Volunteer program (includes foster)
Animal cruelty case support
Other
Of the above issues identified, our #2 top priority issue is:
Community/feral cats program
Cat intake education
State holding periods
Government contracting
Revised sheltering agreements (ex: volunteer, adoption, foster, etc.)
Telehealth for shelter animals
Volunteer program (includes foster)
Animal cruelty case support
Other
Of the above issues identified, our #3 top priority issue is:
Community/feral cats program
Cat intake education
State holding periods
Government contracting
Revised sheltering agreements (ex: volunteer, adoption, foster, etc.)
Telehealth for shelter animals
Volunteer program (includes foster)
Animal cruelty case support
Other
How did you hear about Shelter PALS?
*
Shelter PALS mailer
SF SPCA website
Social media
Word of mouth
Search engine
Other
Where did you hear about us via word of mouth?
You selected "Other" above. Please let us know how you heard about us.
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