Please review this form for requirements that are specific to you. Failure to properly submit required documentation through this form may result in the denial of your application.
I. GRANT APPLICATION REQUIREMENTS FOR HUMANE SOCIETIES
I. A LOUISIANA NON-PROFIT 501 © 3 ORGANIZATION.
General Organizational Information
1. Mission Statement.
2. Annual Operating Budget for Current Fiscal Year.
3. List of Board of Directors, including titles and contact information.
Project Description
1. Please provide a brief description of your spay/neuter project. Include measurable goals, target dates, price breakdown per estimated surgery, and how the funds will be used. Please also include the length of time your program has been operational as well as a list of all community partners.
Rabies inoculations must be performed during each sterilization surgery.
2. Please chose the level of funding you are requesting (only one grant per organization per year)
- $3,000.00
- $2,000.00
- $1,000.00
3. Follow up report requirement. All grantees must submit a follow up report, a Grant Tracking Form, that provides the number of animals altered and breakdown of species. Please download the report or fill out online. Grantees will be notified of the Grant Tracking Form deadline before the end of the year.
4. Eligibility. Limited to one grant per year, per applicant.
Enclosures
1. Please provide the organizational flow-chart to show staff members and volunteers in charge of project.
2. Copy of organization’s 501 © 3 determination letter and Article of Incorporation.
3. Copy of most current fiscal report (audited or non-audited).
Review Process
Each completed grant application will be reviewed by members of the Pet Overpopulation Advisory Council. Grants will be awarded based on merit and need.
Signature
By submitting this application, the applicant organization allows the Louisiana Pet Overpopulation Advisory Council to use the name of their organization in any promotional and marketing materials that might be designed and distributed to promote the mission of this council.
II. ANY VETERINARIAN OR VETERINARY HOSPITAL LICENSED IN LOUISIANA.
How is your program ‘low cost’ relative to other services in your service area?
Specifically, how is it ‘low cost’ comparable to other services available in your service area? (Please include specifics of costs relative to those of other service providers in your area. Please submit on additional page(s) as a .pdf attachment.
ADDITIONAL ATTACHMENTS REQUIRED
Parish or Community Shelters: a copy of your agency’s spay/neuter policy on shelter or governmental letterhead, signed by the shelter manager or managing official.
Animal Protection Charities: a copy of your agency’s 501 © 3 animal advocacy organization; if the chapter of a larger organization, a copy of the parent agency’s 501© 3 letter and a brief statement of your chapter’s mission and officers.
Veterinarians or Veterinary Clinics: a copy of your Louisiana license to practice veterinary medicine.
