Partner Application

Partnership Application

AmBRNet only provides grants to pre-approved rescue organizations that it has partnered with.

Allow two weeks for processing. You will be notified by e-mail if your application is approved or denied or if we have questions. Funds are disbursed as available. AmBRNet does not guarantee that we can fulfill all requests for grants.

Full Legal Name of Organization *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Organization's Website

Name of Person in Charge *

First

Last

Title *

Are you incorporated as a nonprofit organization? *

Please attach proof of your non-profit status (such as your letter of incorporation as a non-profit or your IRS letter granting non-profit status).

If yes, which state?

Does your organization have IRS 501(c)(3) status? *

Does your state require licensing for Rescues/ Animal Welfare Agencies such as yours? *

If yes, please attach a copy of your Department of Agriculture license.

Veterinary reference (name and phone number) *

File Upload

Click or drag files to this area to upload. You can upload up to 5 files.