1. Society Details
Full Name of Society:
Contact person:
Address:
Country:
Mailing address (if different):
Tel Numbers:
Fax Numbers:
E-mail address
Website:
Telephone and contact person outside office hours:
Name:
Date Appointed:
President/Chairman:
Chief Executive/Managing Director:
Date and place Society was founded:
Is your Society officially registered? Yes □ No □
If yes - please provide date of registration and registration number:
If no – have you applied for registration? Yes □ No □ Date of application:
Does your Society produce a policy document? Yes □ No □
Does your Society have a written constitution? Yes □ No □
What are the short-term objectives of your Society?
What are the long-term objectives of your Society?.
What are the main activities of your Society?.
What issues does your Society work on?
What species of animals does your Society protect?
Does your Society run an animal shelter or sanctuary? Yes □ No □
Does your Society provide veterinary treatments? Yes □ No □
In which geographical area does your Society work?
Locally □ Regionally □ Nationally □ Internationally □
Does your Society have any branches? Yes □ No □
If yes, what are their names and what is your relationship with the branches?
Is your Society a branch of a national organisation? Yes □ No □
If yes, what is its name and what is your relationship with the national organisation?
Are there any other animal welfare groups working in the same geographical area as you? If yes, please name the other groups
Does your Society have relationships with other animal groups? If so, please name and detail this relationship:
Affiliated to:
Recognised by:
Member of:
Coalition with:
How many members are on your Society’s Board/ Executive Committee?
