NBCR Grant Application

    *CONFIDENTIAL*
    GRANT APPLICATION

    You must be a 501(C)(3) charity to apply.

    Check all that you would like to apply for:

    Organization Name:

    Organization Address:

    Organization Phone:​

    Organization Website: ​

    Organization email:​

    Is your organization a 501(c)(3) charity?

    Provide your 501(c)(3) number.
    If available, please email proof of 501(c)(3) to nebraskabcrescue@gmail.com.

    Contact Person Name:​

    Contact Person Phone:​

    Contact Person email:​

    Your Organization
    Date Organization was founded:

    Mission Statement of your Organization:

    Describe the operation of your Organization (Example: foster homes, boarding, animal shelter, etc.)

    What would your Organization do with grant money?

    Dogs:
    How many dogs are currently in the care of your Organization?

    Please provide information regarding intake and adoption:
    Number of Intakes
    2022
    2021
    2020
    2019

    Number of Placements
    2022
    2021
    2020
    2019

    Number of Border Collies / Border Collie mixes placed by your Organization?

    Financial Information:
    What are your Organization’s primary sources of funding?

    Thank you for taking the time to answer this completely and as accurately as possible.