Resource Database Questionnaire – United Horse Coalition

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Help horses at risk or in transition today.

Are you willing to allow UHC to provide this information on our website and searchable database?*
- Yes
- No
Name of Organization:*
Primary Contact Name: (Individual completing this form.)
First Last
Primary Contact's Position within the Organization:
Primary Contact's Phone Number:
This number will not be listed, and is only utilized should UHC need to follow up on any information on this form.
Primary Contact's E-mail:

This e-mail address will not be listed, and is only utilized should UHC need to follow up on any information on this form.
Organization's EIN#: (If applicable.)
Organization's Address:
Street Address City State / Province / Region ZIP / Postal Code Country
Organization's General Public Phone Number:
Organization's General Public E-Mail:
Organizations Website: (If you would like it listed on the database.)
Organizations Facebook: (If you would like it listed on the database.)
Is your organization a registered Non-Profit, Municipal Organization, or Private Entity?
- Non-Profit
- Municipal Organization
- Private Entity
Does your organization provide services on a National level or Local/Regional level?
- National Level
- Local or Regional level
Is your organization accredited by, certified by, or a member of any of the following? (This information will be publicly listed in the database.)
- Global Federation of Animal Sanctuaries
- Thoroughbred Aftercare Alliance
- The Right Horse Initiative
- Equus Guardian
- Homes for Horses Coalition
- United Horse Coalition
- A Home For Every Horse
- Equine Welfare Data Collective
Does your organization take legal custody of Equines?
- Yes
- No
Does your organization fulfill owner requests to surrender their equine into your custody?
- Yes
- No or Not Applicable
- Under special circumstances
Does your organization allow adoptions outside of your immediate area?
- No or Not Applicable
- only if less than 50 miles from our organization
- only if less than 100 miles from our organization
- only if less than 200 miles from our organization
- only if less than 300 miles form our organization
- only if less than 400 miles from our organization
- only if less than 500 miles from our organization
- no limit on radius of area we adopt to
Is your organization primarily a breed specific organization? (ie Thoroughbreds, Quarterhorses, Arabians, etc)
- No or Not Applicable
- Thoroughbreds
- Quarterhorses
- Standardbreds
- Mustangs
- Arabians
- Gaited Breeds
- Donkeys and or Mini Donkeys
- Draft Breeds
- Other
Does your organization provide hay or feed assistance to the public?
- Yes
- No
Does your organization provide castration services or financial assistance for castrations to the general public?
- Yes
- No
Does your organization provide veterinary services, or financial assistance for veterinary services for owners in need?
- Yes
- No
Does your organization provide microchip services, or financial assistance for micro-chipping to owners in need?
- Yes
- No
Does your organization provide euthanasia services, or financial assistance for humane euthanasia to owners in need?
- Yes
- No
Does your organization provide equine disposal services, or financial assistance for equine disposal services to owners in need?
- Yes
- No
Does your organization provide any type of equine behavioral training, or financial assistance for equine behavioral training services to owners in need?
- Yes
- No
Does your organization provide equine transportation services, or financial assistance for equine transportation services?
- Yes
- No
Does your organization provide direct placement services? (Marketing, owner to owner re-homing, hosting classifieds, etc)
- Yes
- No
Does your organization provide Law Enforcement Services?
- Yes
- No
Does your organization provide any type of disaster assistance services?
- Yes
- No
Does your organization offer Large Animal Technical Rescue?
- Yes
- No
Does your organization provide general grant funding opportunities?
- Yes
- No
Does your organization provide any other type of assistance options other than those listed on this form? (If yes, please list in "other")
- No
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