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: $10,000 in honor of Karen Battreall$7,500 in memory of Rich Pollard (1946-2017)$5,000 in memory and honor of Blaze$2,500 in honor Fosters and Foster Families$2,500 in Gratitude for all Volunteers$2,500 in memory of all the dogs waiting for us to cross the Rainbow Bridge Organization Name: Organization Address: Organization Phone: Organization Website: Organization email: Is your organization a 501(c)(3) charity? YESNO 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. Δ