Shelter Program Application
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#1 Do you have a physical shelter, humane society, or city/county animal control facility in a business district (non-residential) with posted hours of operation for viewing and pet adoption? *

Yes  No

#2 Please select which best describes your organization: *

            

(If you indicated your organization is a foster program, rescue group, or standard humane society/animal shelter, please provide a copy of your 501(c)(3). If your organization is a government/municipality, please submit your IRS determination letter with your application.) *

Select Documentation
(10 MB Max)
We accept pdf, jpg, and tiff formats.
#3 Are you under contract to purchase food from another company? *

Yes  No

#4 Do you have a veterinarian on staff who provides healthcare for your dogs and cats? *  

Yes  No

If not, do you have a veterinarian in the community who provides healthcare for your dogs and cats?

Yes  No

Do you have a full service clinic on site? *  

Yes   No

#5 Would you exclusively feed and endorse Science Diet® pet foods? *

Yes  No

#6 Would you agree to give away a Science Diet® adopter kit to each adopter? *

Yes  No

#7 Would you enter into a one-year trial with an automatic 2-year renewal contractual agreement if performance criteria have been met? *  

Yes  No

#8 Would you provide Hill's with names and email addresses of adopters? *  

Yes  No

#9 On average, how many animals do you feed each day by species and lifestage? *
 Adult Dogs  Puppies (under 1 year)
 Adult Cats  Kittens (under 1 year)

#10 How many adoptions, by species and lifestage, did you complete in 2016? *
Adoptions are the number of dogs and cats your shelter or animal group placed with members of the public. Please do not include dogs/cats in foster homes or dogs/cats transferred to other animal welfare organizations.
 Adult Dogs  Puppies (under 1 year)
 Adult Cats  Kittens (under 1 year)

#11 Do you hold adoptions at retail locations? *  

Yes  No

If yes, where?
Petco Pet Supplies Plus
Petsmart Tractor Supply
Other
#12 What are you feeding presently? (Check all that apply)
Blue Buffalo® Nutro® Royal Canin®
Friskies® Pedigree® Science Diet®
Iams®/Eukanuba® Purina® Wellness®
Other
#13 Do you have a retail store or boutique? *     Yes  No

If yes, which pet food do you currently sell? (Check all that apply)
Blue Buffalo® Nutro® Royal® Canin®
Friskies® Pedigree® Science Diet®
Iams®/Eukanuba® Purina® Wellness®
Other
#14 Are you interested in selling Science Diet®? *  Yes  No

(Not mandatory for enrollment)

Shelter Name *
Mailing Address *
City *
State * Zip *
Shelter Phone * Fax
Best Person to Contact
First Name * Last Name *
Phone * Ext
E-mail *
Contract Approver

 Same as above
First Name * Last Name *
Phone * Ext
E-mail *
How did you hear about the program?
* Required
* Required
 
* Required