• Facebook
0 Items
BCSA
  • Home
  • 2022 National Specialty
    • 2022 National Specialty Event Information
    • Premium List – Obedience, Confirmation, Rally
    • Premium List – Herding Test and Trials
    • 2022 Agility Form
    • Herding Instinct Form
    • 2022 RV Reservation Form
  • About BCSA
    • Constitution and Bylaws
    • Articles of Incorporation
    • Board of Directors
    • Policies
    • BCSA Code of Ethics
    • Board Meeting Minutes
    • Committees
    • Affiliate Clubs
    • Border Recorder
    • Members photo gallery
  • Membership Information
    • Membership
    • Membership Renewal
    • Affiliate Club Renewal Form
    • New Applicants for Membership
    • BCSA Refund Policy
    • Borderlines Magazine
      • Borderlines Magazine
      • BorderLines Payment Form
  • Breed Info
    • AKC Standard
    • Border Collie Colors
    • Historical Photos
    • How to Find a Border Collie That’s Right for You
    • BCSA Breeder Referral Directory
    • DNA Test Kits
  • Events
    • Judging Information
      • Judges Selection Process
      • Judges’ Selection Policy
      • Judge’s Edu List
      • Mentor Policy
      • Voting for Judges
    • Nationals Results
    • AKC Code of Sportsmanship
    • Host a BCSA Event
    • Futurity Central
  • Programs
    • BCSA Breeder Referral Directory
    • Breeder Hall of Fame
      • Hall of Fame Guidelines
      • Breeder Hall of Fame Application
      • Breeder Hall of Fame Spreadsheet
    • Register of Merit (ROM) Program
    • Herding
    • Stockdog of Distinction Program
    • Titles Earned
      • Titles Earned 2018 & Yrs Back
    • Versatility Program
    • Juniors Program
  • Rescue
    • BCSA Rescue Committee
    • Border Collie Rescue Group Contacts
    • Rescue Committee Grants
Select Page
Type your information in the fields below then select the "print" option on your browser.
  • Make certain that everything you type below appears on the printed copy before closing this window.

  • Please provide an accounting of how you intend to use the funds to advance your proposed project. To add additional rows, click on the + .
    DescriptionAmount 
    Add a new row Remove this row
  • Please provide copies of the following documents, if available.

    1. Documentation of not-for-profit status from the state where incorporated (if available).

    2. A list of Board members and officers and list of volunteers (if a group).

    3. A list of dogs taken in and their current status (e.g. adopted, euthanized, still in foster care) over the past two years.

    4. An accounting of expenditures over the past two years. This accounting does not have to be detailed, but does need to indicate how much income has been generated through adoption fees, donations and fundraising efforts and how much has been spent on supplies, dog care, etc.

    5. Copies of adoption applications and contracts, plus written documentation of screening procedures.

  • I have read and agree to the terms of the application for rescue funds.

  • Applicant SignatureDate:
  • BCSA Member SignatureDate:
  • Mail to: BCSA Treasurer, c/o Karen Mull, 916 Rabbit Hill Road, Lititz, PA 17543

  • Form Rev 3.2006
  • Facebook