ORGANIZATIONAL INFORMATION
Name of organization: Telephone number:
Address: Fax number:
Address Line 2: Website address:
City: General e-mail address:
State / Province: How did you hear about HHC?
Zip:
CONTACT PERSON
Contact Person's Name: Contact Person's Phone:
(if different from above)
Contact Person's Title: Contact Person's e-mail:
(if different from above)

TYPE OF ORGANIZATION
Is the organization a 501c3 (or the equivalent if operating outside of the US)? yes
no
We are a (please check the radio button and then fill out the fields below your choice):
a. Equine Advocacy Organization
Year in which the organization was established:
b. Equine Rescue/Retirement Organization
Year in which the organization was established:
Has the organization ever been the subject of an animal cruelty or neglect investigation? yes
no
Does the organization have a policy in place to ensure that the rescue is notified by the adopter and given first right of refusal to take possession of a horse if the adoption is unsuccessful? yes
no
Does the organization have a policy against breeding of the animals it cares for? yes
no
Is humane euthanasia used only as a last resort to end suffering (and not as a general management tool)? yes
no
REFERENCES (for Equine Rescue/Retirement Organizations)
Please list three references. These must include the organization's regular veterinarian and farrier. In addition, please list a 501(c)(3) equine organization or current member of the Homes for Horses Coalition. If you are unable to complete these references for any reason, please contact the manager, Tessa Archibald, at tessa@homesforhorses.org.
Reference 1
Name: Title:
Relationship to organization: Phone:
Email:
Reference 2
Name: Title:
Relationship to organization: Phone:
Email:
Reference 3
Name: Title:
Relationship to organization: Phone:
Email:
Sponsor
Name: Title:
Organization: Phone:
Email:
c. Law Enforcement Agency/Humane Society/Animal Control Agency
Please give details:
d. Other/Individual Applicant (Note: Individual applicants will be listed as HHC "supporters").
Please give details:

WE'D LIKE TO HEAR FROM YOU
The Homes for Horses Coalition wants to know what type of services you would like HHC to provide its members. Which of the following services would benefit your organization?
Information on fundraising/funding sources/grant writing
Rescue/sanctuary accreditation program
Media training
Access to an emergency equine rescue network
Information on horsemanship and training
Information on relevant legislation
Other (please describe)

SUPPORTING LEGISLATIVE EFFORTS TO END HORSE SLAUGHTER
Yes, I support the Save America's Forgotten Equines Act or the SAFE Act to end horse slaughter. You may add my name to the list of supporters! (Support of this legislation is a membership requirement.)
AGREEMENT TO HHC'S POLICIES AND PROCEDURES
I have read the Criteria for Membership, Code of Conduct for Members, and Complaint Procedure, and I agree to these policies and procedures. (Click on these links if you'd like to read them now; they will open in a new window.)
Please type the imaged text in the box provided.