PILOT
Database


PILOT Home Page

Volunteer/Organizational Representative Application
Organizational Application

Database Login (Members Only)


Need to contact someone for assistance? Mail to:
coordinator@pilot4pets.org

Add Your Organization

Welcome to the PILOT application process. If you are an organization that is seeking to participate in the PILOT for pets program, please fill out the information below. Our shelter/rescue coordinator will get in touch with you after she has received your application.

Name of Organization:
Contact Person at Organization:
Address Line 1:
Address Line 2:
City:
State:
Zip Code
Email:
Phone
Alternate Phone:
Website:
Hours:
Is this organization seeking help from others for placing animals (sending organization), interested in taking animals to place for adoption (receiving organization) or both?
Does Organization Spay/Neuter? Yes
No
Can the Organization Pay
for Spay/Neuter?
Does the Organization Vaccinate? Yes
No
What vaccinations?
Does the organization Microchip? Yes
No
Are there organizations with whom you regularly cooperate regarding placement of animals? Please list.
Is your shelter an open door facility. Can you accept any animal?
Does the organization
have a time limit?
Is the time limit flexible?
Describe the physical facility and where you hold animals. Include things such as heat, indoor outdoor areas.
Can the organization assist
in transport to/from another facility? ( some organizations are not able to transport beyond town lines)
Does the organization
adopt out animals?
If the organization does not adopt out,briefly describe why
If you can participate as an organization that recieves and places animals for adoption please answer the following questions.
Please provide a brief description of your facility or services (Do you provide foster homes, a shelter, kenneled elsewhere).
Which health issues can you accommodate? (hold shift key to select multiples)
Do you have additional comments on other medical care you can or cannot provide?
Describe any isolation facilities you might have for contagious disease
Does the Organization do
behavioral evaluations?		 Yes
No
If the organization does behavioral evaluations, briefly describe.
Which behavioral issues can
the organization accommodate for adoptable pets? (Hold shift key to select multiples)
Provide any other information on behavior modification services that might be helpful for caseworkers in matching dogs to your organization.
If the shelter has an age limit specify here in years.
Briefly describe the organization's definition of an "Adoptable Dog" so that our case workers can try to match dogs and organizations
Can you take animals with a known bite history? Do you put them up for adoption?
We have read the information on Criteria for Participation and believe that we meet the criteria and agree to the conditions.

Have a question for the webmaster or database administrator contact: webadmin@pilot4pets.org
Have a question for the coordinator of the program contact: coordinator@pilot4pets.org