Transfer Partnership Application – Michigan Anti-Cruelty Society

	Transfer Partnership Application
	This application must be completed by the shelter director/manager or president/executive director of the home based rescue organization. Transfer Partners are limited to either a licensed shelter or a 501(c)(3) rescue organization.

Title*

Phone*

I am an authorized representative of this organization and have answered each question below truthfully.

Signature*

Name of Organization*

EIN or Federal Tax ID Number*

Phone*

Email*

Website

Phone

Email

If other, please indentify

Michigan Charitable License #

Date

How many volunteers do you have?

How many foster homes do you have?

If yes, what is the limit?

If other, please indentify

How long do animals typically stay in foster care before they are adopted out?

If yes, please indentify

How many animals do you adopt out last calendar year? (Dogs,cats, ..etc)

If yes, please provide the websites or other sources your behavior team/trainer uses to provide behavior material to your adopters/fosters.

Please provide the following information for the primary veterinarian that your rescue uses.

Name

Phone

Email

Website

Please provide information for another shelter that you currently collaborate with as a Transfer.

Name

Transfer Coordinator's Name

Phone

Email

Website

Please attach your IRS determination letter, if applicable

Drop files here or

Accepted file types: pdf, jpg, docx, Max. file size: 100 MB, Max. files: 3.

Email

This field is for validation purposes and should be left unchanged.