Goods Program Application

Overview

The Greater Good Program provides donations to animal rescue groups, shelters, pet food pantries, feral cat feeders, and sanctuaries. To qualify, organizations must have 501c3 status.

Donations

Donors supply nutritious food and supplies on an as-available basis. Specific types or brands cannot be requested. The donated goods are for the recipient group's use only and cannot be:

Redistributed without written consent from Greater Good.
Sold, rented, or exchanged for other goods or services.
Returned for a refund.

Application Process

Each organization must submit its own application. Completion of the form does not guarantee approval. Incomplete applications will not be processed.

Goods Program Application.

If you wish to start the application process, you will be required to provide your IRS determination letter and be sure your group's name appears in GuideStar. We will not review applications until both criteria are satisfied.

If you have questions before submitting, please send an email to petpantry@prcspca.net

Organization Name

Organization Physical Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Mission Statement

Website

http://

Link to Organization's Facebook Page

Non-Profit tax ID/EIN

Does your organization Spay/Neuter all animals before adoption?

Yes

Number of Dogs Adopted in the past 12 months:

Number of Cats Adopted in the past 12 months:

Average monthly need for DOG food (lbs):

Average monthly need for CAT food (lbs):

Describe food storage capabilities. Include maximum food storage capacity.

Describe your Adoption Program and Process:

Number of Employees:

Number of Volunteers:

Do you have a TNVR program? If so, describe the number of spay/neuter surgeries performed in the past 12 months.

Do you have a feral feeding program? If so, describe the program, including the number of cats you support.

Provide your veterinarian's contact information. Note that we will contact your vet for a reference. Name and phone number.

Provide contact information for a local partner organization in the animal welfare field. Note that we might contact your partner for a reference.

Completed by (applicant's name)

First Name

Last Name

Applicant's position in the organization:

Applicant's phone number:

(###)

###

####

I have read and agree to the terms and conditions described below.

Yes

I have emailed a copy of my IRS Determination Letter to petpantry@prcspca.net . Applications will NOT be considered unless that has been received by Pearl River County SPCA.

Yes

How did you hear about our program? (If you were referred, please list the name of the individual or organization.)

By submitting this application, you agree and acknowledge the following terms and conditions:

1. You are authorized to sign this agreement on behalf of this organization and certify that the information set forth in this application and supporting documentation is correct.

2. You have read and understood the criteria that apply to this application and certify that the group meets each one.

3. The IRS determination letter has not been revoked, canceled or modified.

4. That food shall be protected against dampness, deterioration, and mold or from contamination by insects, birds, rodents, or other animals.

5. That food spoiled or otherwise contaminated shall not be served.

6. To abide by restrictions or conditions of distribution, if any, imposed by the source of Donation and communicated to Recipient by Donor.

7. Any raw meat provided is not fit for human consumption and shall be used solely for feeding animals.

8. That feeding pet food to ruminant animals is prohibited.

9. To not sell, transfer, trade, or barter any Donation or portion thereof in exchange for money, property or services or otherwise allow the items to enter commercial channels.

10. To release both Donor and Donor's source(s) from any liability arising from the condition of Donation and further agrees to indemnify and hold harmless Donor and its source(s) against any and all damages, losses, claims, causes of action and suits of law in equity or any obligation whatsoever arising out of or attributed to any action of in connection with Recipients receipt, handling or distribution of Donation.

11. That Greater Good may list your organization as a participant in its publications, website or other informational materials but will not sell or disclose non-contact information by any commercial purpose.

12. That goods or services are provided on an "as is" and "as available" basis. Greater Good expressly disclaims all warranties of any kind, whether express or implied, including, but not limited to the implied warranties of merchantability or fitness for a particular use or purpose.

13. Your organization grants to Greater Good the following:

a.) the right to include on its website a link to your organization's website(s)

b.) the right to use any image(s) that you submit to Greater Good or that may be recorded by Greater Good during or in connection with events that involve both organizations.

14. Permit monitoring, including a site visit if requested, by a Donor representative, as reasonable and necessary to verify that compliance with criteria, receipt, handling and use of Donation conform to this Agreement.

15. Applicant grants permission to Greater Good and its pet products donors to use information contained in this application for their internal evaluation and response procedures.

16. All handling fee payments are to be made payable to the Affiliate Organization or Greater Good, as requested, and in no event made to any individual or other organization.

Goods Program Application

Overview

Donations

Application Process

Goods Program Application.

Pearl River County SPCA

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