Affiliate Organisation Application

The Organisation

Registered Name*

Address of Organisation

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Authorised Contact*

First Last

Email of Authorised Contact*

Phone/WhatsApp Number of Authorised Contact*

Please include area code

Website or Facebook Page

Year established*

Is your organisation a registered charity?*

Yes
No

Please provide your charity's registration number and registering authority

Category of organisation*

Not-for-profit organisation with annual income less than AUD100,000
Not-for-profit organisation with annual income AUD100,000 to 500,000
Not-for-profit organisation with annual income greater than AUD500,000
For-profit organisation
Government agency or University

Please provide a summary of the aims of your organisation*

Is your organisation affiliated with any other organisations?*

Yes
No

Please provide the names of other organisations and briefly how they work with you

Activities

Please select all that apply. To select more than one option, hold down the CTRL button.

Other

Staff

How many FULLTIME veterinarians work with your project

How many PART TIME veterinarians work with your project

How many FULLTIME paravets/vet nurses work with your project

How many PART TIME paravets/vet nurses work with your project

How many FULLTIME humane animal handlers ("dog catchers") work with your project

How many PART TIME humane animal handlers ("dog catchers") work with your project

Please feel free to provide additional information on the operations of your organisation:

It would be helpful if you would attach a ZIP FOLDER containing images of your facilities. Please also include video footage if you wish

Drop files here or

Max. file size: 50 MB.

(Max. file size: 50MB)

If approved as an Affiliate Organisation, would your group wish to be considered for Partner Organisation status, which would allow VBB to consider assisting directly with your animal welfare activities ?

Yes
No

Please confirm that you agree to the Terms & Conditions of registering as a VBB Affiliate Organisation*

Yes, we agree

Affiliate Organisation Terms & Conditions

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