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Rescue Partner Application

  1. Rescue Partner Application

  2. Please check which description best fits your organization:*
  3. Is your organization a registered 501c non-profit?*
  4. Animals Accepted*
  5. Will your organization consider taking animals with medical conditions? *
      1. Will your organization consider taking animals with behavior problems?*
          1. Are senior animals accepted?*
              1. Contact Information:

                By completing this form, you are authorizing the individuals below to act on behalf of your organization under the Linda L. Kelley Animal Shelter Rescue Partner Policies. 

              2. References: 

                Please include the veterinary clinic and veterinarian associated with your organization and two (2) other references.

              3. I certify that the information given is complete and accurate to the best of my knowledge. I give permission to The Linda L. Kelley Animal Shelter to contact my references. I understand this application does not guarantee acceptance into the Linda L. Kelley Animal Shelter’s Rescue Partner program. I certify that I am authorized to sign this Application on behalf of the aforementioned organization.

              4. Leave This Blank:

              5. This field is not part of the form submission.