Albert Schweitzer Animal Welfare Fund (ASAWF)
Grant Application
Organization Name Date
Address
Contact Person Title
Phone Email
Name of person completing the application (if different)
Phone Email
Number of Employees Number of Volunteers
Annual Operating Budget
Specific issue this grant proposal is addressing
Title of the Grant Proposal Amount Requested
Grant Proposal Narrative
On a separate piece of paper (no more than three pages) describe the issue you are addressing and your specific grant request. Please see the Grant Application Instructions for a detailed list of the information that must be submitted.
Organization Information
Animal Shelters, foster care programs and other organizations performing hands-onanimal work must complete this section. Provide your statistics for either the last calendar or fiscal year.
In Stray / In Owned / Adopted / Adopted & S/N / Released / Returned to Owner / EuthanizedDogs
Pups
Cats
Kittens
Other
(If you specialize in handling another species, please provide appropriate statistics.)
Provide the number of animals on hand at any given time?
Dogs: Pups: Cats: Kittens: Other:
Describe your admission procedures:
Which most closely describes your facility’s admission policy?
Open admission Restricted or limited admission
How long is the average waiting period for admission?
If you do not accept all animals, describe howyou determine animal admission. Please be specific.
Average length of stay for Dogs: Cats: Other:
Briefly describe you adoption policy.
What is your spay/neuter policy?
Do you spay/neuter prior to adoption?
Are you performing early age spay/neuter?
If you do not spay/neuter prior to adoption, how do you follow-up to insure adopted animals are neutered?
What percent of adopted animals are confirmed as being spayed or neutered?
Describe your euthanasia procedure. Include information on the method of euthanasia, staff training and certification and the animal selection process. Please be specific.
Do you have facilities to house livestock? Wildlife?
Briefly describe
What other services do you provide for animals in your community?
Organizational Information
Mission statement:
Are you involved in community education?
How many programs do you present per year?
Who is you audience?
Do you provide any other services or specialized programs to your community?
If yes, please briefly describe:
Do you investigate reports of animal cruelty, abuse or neglect?
If yes, # of full time investigators
If yes, from where do you derive your authority?
If you investigate animal cruelty, please provide the following information for either the last calendar or fiscal year.
Number of complaintsreceived
Average response time on a complaint
Number of investigations conducted
Number of cases closed without prosecution (situation corrected)
Number of cases successfully prosecuted
Number of animals seized
Average holding period for seized animals
If you do not investigate reports of animal cruelty or abuse, please explain why?
When do you recall first hearing about Albert Schweitzer?
What impact has Albert Schweitzer had on you or your organization?
ASAWF Grant Application Page 1 of 3