Spay/Neuter Grant Program Application

Application Deadline: July 17, 2025, at 11:59 p.m. MT

Other Organization involved (if any)

If multiple organizations are combining forces for this application, please list the others involved in that effort below. For ease of administration, however, please choose a “lead” organization and provide contact persons for that organization in answer to the questions that follow:

If your organization houses animals, please provide the following information to the best of your knowledge:

Totals for the most recent 12-month period for which there are statistics  (provide intake numbers for all that apply):

Outcome totals for the most recent 12-month period for which there are statistics:

If currently providing spay and neuter services, indicate the total number of animals spayed/neutered in the most recent 12-month period for which there are statistics:

Goals. Please indicate how many surgeries you are proposing to complete, be as specific as possible regarding the number of dogs, cats, or community (feral) cats you plan to serve:

Please provide a brief description of your goal(s) in receiving the requested spay/neuter funds including justification for the numbers indicated above.

Providers: List the name(s) and location(s) of veterinarians or practices expected to provide spay/neuter services if known.

Location: Describe the target location for spay/neuter services and include brief justification for choosing that area or areas.  Here, you may list a county, zip code, or other information defining the target location or jurisdiction.

Please list below other budgetary expenses not indicated above. E.g., if funding for additional materials or additional staffing is part of your budget, please include an estimated breakdown of costs (a sample budget is provided at the end of this application):

List any proposed matching funds and how they will be spent, and/or any matching in-kind services to be provided (note: matching funds are not required):

By completing and signing this application you agree to report data as required, including but not limited to the amount of funds spent and number of surgeries performed.

You hereby agree that your electronic signature below constitutes your signature, acceptance, and agreement as if actually signed by you in writing.