World's Largest NO-KILL
Animal Rescue
and Adoption Organization
 
 
 

Rescue Request Form

North Shore Animal League America—the world's largest no-kill rescue and adoption organization—has saved the lives of over 1 million dogs, cats, puppies and kittens at risk of euthanasia. Through our Mobile Rescue Program, we work with shelters and rescue groups across the country to rescue animals at risk of euthanasia due to overcrowding, unwanted litters, puppy mills, natural disasters and other emergencies and help find them permanent, loving homes.

If you would like your shelter or rescue group to become a part of this vital program, please fill out the form below and someone will contact you shortly.

                                                                                                                       *Indicates a required field

Applicant Information

Applicant First Name:*
Applicant Last Name:*
Applicant Official Title:*

Organization Information

Official Name of Organization:*
Address:*
City:*
State:* 
Zip:*
Organization Phone #:*
   
Contact Person:
     Business Phone #:*
     Cell Phone #:
     Email:*
   

What are your rescue/transport needs?
(ie: # of animals to be placed, one time assistance or ongoing relationship, etc)

 
How would you define the organization? (Please check one.)
 
How long has your organization been in existence?
 
Is the organization a registered 501c3 charity?
 
How many animals does the organization house?
 
Where do the animals come from?
 
How many adoptions does the organization do annually?
 
Do you have a foster program/network?
 
What are the predominant breeds your rescue/shelter admits?
 
Do the animals receive health examinations & vaccinations?
 
What is your organization's policy on spay/neuter?
 
Are you able to provide transport or do you need transport assistance?
 
Are you currently transporting animals to other organizations?
 
If currently transporting, to which organization(s)
 
Please provide two references for your organization:
  Reference 1 Full Name:
     Title:
     Phone #:
     Email:
   Reference 2  Full Name:
     Title:
     Phone #:
     Email: