Animal Social Services Prototype Interest Form Organization Info Question Title * 1. Organization Information Your Name Organization Name Job Title Jurisdiction (city, county, etc) State/Province ZIP/Postal Code Country Email Address Phone Number Question Title * 2. Type of organization Government staffed Government contract Shelter with no contract Rescue group with no shelter Question Title * 3. 2019 Data Annual Intake By Animal Type Stray Dogs Owner Surrendered Dogs Stray Cats Owner Surrendered Cats Other (please describe) Question Title * 4. What is the human population of your jurisdiction? Question Title * 5. What is your annual budget? Question Title * 6. How many full-time staff equivalents do you have? Question Title * 7. How many volunteers do you have? Question Title * 8. How many foster homes do you have? Question Title * 9. Please describe what you think Animal Social Services is in your own words Next