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SupportingMassachusettsPoliceDogs~Founded2000~

MissionExpansionincluding

GRANTdetails&applicationimplementedSeptember2011

Information,Policies,&Procedures

SupportingMassachusetttsPolicedogswith

essentialequipment,trainingandpurchaseofdogsforpolice/lawenforcementK-9programsthroughoutMassachusetts

~this is a working document, subject to change~

Massachusetts Vest-a-Dog, Inc. is a 501(c)3 registered non-profit. Tax ID#45-0592275 Registered as a Public Charity with the MA Attorney General’s Office, Certificate of Solicitation #048402

508-668-7149 ★ PO Box 48 Walpole MA 02081 mavestadog.org ★ facebook.com/mavestadog

Rev. April 2016

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TABLEof

CONTENTS

Background 3MassachusettsVest-A-Dog,Inc.MissionStatement 4ReceivingDonations 4FundsDispersement 5GrantInformation-GeneralDetails 6GrantInformation-GrantReviewProcess 6GrantInformation-GeneralDetails 6GrantApplication-InstructionstoApplicants 8GrantApplicationForm 9-12PurchaseRequistionForm(foruseofDepartment-specificfunds) 13

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BACKGROUNDMassachusettsVest-a-Dog,Inc.isanindependent,all-volunteer,non-profit501(c)3organizationdedicatedtoraisingfundstoprovideprotectivevestsforMassachusettspolicedogs.WeofferlawenforcementdepartmentsballisticK9vestsatacostof$1000eachorforSWATK-9s,aspecializedtacticalballisticK-9vestat$2500+each.AllvestsalsoprotectK-9sagainstbluntforcetraumafrombeingkicked,punched,orstruckwithanobject,likeabat.Since2000,becauseofgeneroussupportfromdonorsandtirelesseffortsofourvolunteers,MassachusettsVest-a-Dogisproudtohaveprovidedover470K9veststothefollowingMassachusettslawenforcementagencies:localpolicedepartments,countysheriff’sdepartments,MassachusettsStatePolice,MassachusettsDepartmentofCorrections,MBTATransitPolice,MassachusettsEnvironmentalPolice,MassachusettsDepartmentofDevelopmentalServices,USAF–HanscomAFB,USCG–Gloucester&Hull.OurprioritycontinuestobeprovidingvestsforK9swithoutavest,aswellasreplacingK-9vestswhose5-yearwarranteehasexpired.Duringourfundraisingefforts,handlershaveoftennotedthefragilityoftheirK9budgets,andlackoffundingforotherK9equipment(Hot‘nPopUnits,bitesleeves/suits,kennelswhenthecruisertypechanged,etc.),aswellasspecializedtraining,andtheultimate'bigticketitem'-thepurchaseofadog.Donors,supportersandvolunteershaveoftenasked"whatelsecanwedo?"MassachusettsVest-a-Dog,Inc.BoardofDirectorsbegantoconsiderexpandingourmission.InspirationcameviaanarticleinPoliceK-9MagazineJan/Feb2011intheir“TrainingPerspectives”column,answeringthequestion:“Doyouhaveagoodsystemforacceptingdonations?”Wealsosoughtoutsimilarnon-profitK-9supportprogramsaswell:FriendsforLasVegasPoliceK9'shttp://www.lvmpdk9.com/about-us.phpTheModestoPoliceCanineAssociationhttp://www.modestopdk9.com/sponsors.htmlNationalPoliceDogFoundationwww.usk9fund.orgNewHampshireWorkingDogFoundationwww.workingdog.orgThePoliceandWorkingK-9Foundationhttp://www.coveryourk9.comSt.PaulPoliceK-9Foundationhttp://www.stpaulpolicek-9foundation.org/TheTampaPoliceK-9Associationhttp://www.tpdk9.comTheBoardofDirectorsvotedon7/11/11toexpandourmission,tohelpprovideballisticvests(primaryobjective),essentialequipment,training,anddogs.Weimplementedthemissionexpansionon9/1/11.

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MASSACHUSETTSVEST-A-DOG,INC.MISSIONSTATEMENTMay2000–July2011Massachusetts Vest-a-Dog’s mission is to provide protective vests to police and other law enforcement dogs throughout Massachusetts. August2011(Brief)MassachusettsVest-a-DogInc.’smissionistoprovidesupportforthefollowingpurposes:

1. essentialequipmentforpolice/lawenforcementK-9programsthroughoutMassachusetts;2. trainingdistinctfromcustomaryandusualtrainingforpolice/lawenforcementK-9programs

throughoutMassachusetts;3. purchaseofdogsforpolice/lawenforcementK-9programsthroughoutMassachusetts.

(Detail)“Essentialequipment,trainingandpurchaseofdogs”canbefurtherdefinedandalsoincludeanyotherreasonablerequestthatisrelated,butnotstatedspecifically,inthefollowing:EssentialequipmentincludesspecializedequipmentfortheK-9dog(bullet/stab-protectiveK-9vests,K-9firstaidkits,canineoxygenmasks,reflectiveK-9gear,specializedharnesses),training/protectiveclothing(bitesuits/pants/jackets/sleeves/handprotectors/helmets),K-9cruiserspecializeditems(kennels,heatdetector/doorpopperunits,securestorageunits,doorpanels,windowguards/fans,rearA/Csystems),trainingaids(tugs,scentkits),trainingequipment(K-9agilitystructures,scent-trainingboxes).Expendables(one-and-done)itemswillnotbefunded.TrainingdistinctfromcutomaryandusualK-9trainingisfundingfortrainingstaff,K-9handlersandtheirK-9partnerstoattendtrainingseminarsortofundguesttrainers.Prioritywillbegiventotrainingthatwillbenefitmorehandlers(ie:forTrainersorforguesttrainersthatareinvitedtoconductaseminaropentomultipledepartmentsorforhandlersthatarewillingtopresentwhattheylearnedinaseminartomultipledepartments).Trainingsupportwillnotincludeminimaldepartment-requiredin-serviceforcertification,additionalareasofcertificationorre-certification/maintenancetraining.PurchaseofdogsispartialfundingofadogspecificallyforK-9PoliceLawEnforcementwork.

RECEIVINGDONATIONS

AccountswithinMAVest-a-DogAllfundsreceivedwillgointotheGeneralFund,unlessspecifiedbydonor GeneralFund(non–restricted)

Department(restricted:fordepartmentnamedbydonor) VestFund(restricted:forK9ballisticvestsonly) Department(restricted:fordepartmentnamedbydonor)MethodsofRaisingFundsDonationsaresolicitedbyMAVest-a-Dogvolunteersvia

Events(pet-related,community,concerts,dinner/dance,tagsales,raffles,etc.)Online(website,facebook,crowdrise–athletesponsorship,etc)DonationPremium/Thank-yougifts:Tshirts,hats,calendars,etc.NewsletterviaUSMAIL

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FUNDSDISPERSEMENTDepartment-Specific/RestrictedFundsSomedonors/fundraisersareforaspecificdepartment–thesefundsareputintoanaccountspecifictothatdepartment,andthereforbecomerestrictedforuseonlythatdepartment.AlldepartmentsaretohaveasingleofficercontactwithMAVest-a-Dog,tostreamlinecommunicationandavoidduplication.FundsaretobedisperseddirectlytoVENDORS,notdepartments.

AccountBalanceThesefundbalanceswillbeemailedonuponrequesttotheDepartment’sMAVest-a-DogContactOfficer.PuchaseRequisitionApurchasewithsignatureofdepartmentofficerplusasecondsignaturebyaK-9SupervisororPoliceChief(orlikerank)isrequiredonaPurchaseRequisitionForm(seepage13)

DisbursementsBallisticvestsremainourprimaryfocus.FundingforballisticK-9vestswillbefromthededicatedballisticK-9vestfundandsecondlyfromtheGeneralFund.HandlersshouldcontactMAVest-a-DogtoputtheirK-9partnersonourprioritzedtieredK-9vestwaitlist(nootherformalsign-upprocess):

TIERONE/FirstPriority-NewK-9s-adepartmentorlawenforcementagencystartsabrandnewK-9programoraddsK-9stotheirpresentK-9team.TIERTWO/SecondPriority-K-9swhosefirstvestwasa'hand-me-down'duetosizeissues(seeparagraph2,above).TIERTHREE/ThirdPriority-ReplacementofK-9vestsduetowarrantyexpiration(5yearspostmanufacture).Priorityonthislistisgiventotheoldest-manufacture-datevestholder.

Essentialequipment(otherthanballisticK9vests),trainingandpurchaseofdogs-fundingfortheseitemswillbefromtheGeneralFundorforspecificdepartments,asrestricted.K9FirstAidkitsarefundedthroughGeneralFunds;contactMAVest-a-Dogtobeputontoawaitlist,nopaperworkrequired.Asfundsareavailable,weassemblethekitsinbatchesof20+kitsatatime.GeneralFundsshallbedisbursedthroughabi-annualgrantprocess,utliizingaGRANTAPPLICATIONFORM(seepages9-12):

CycleA:applicationdeadline–June15,disbursementbeginsuponawardannouncementCycleB:applicationdeadline–December15,disbursementbeginsuponawardannouncement(Deadline:emailedbymidnightofthe15thorpostmarkedbefore/onapplicationdeadline)

NOTE:Emergencyexceptionstothisbi-annualcyclemaybeconsidered.Forexample,incaseofacruiserbeingtotaledoraK-9’ssuddendeathorspecialequipmentneededtoinsuretheK-9’ssafety.PleasecontactMAVest-a-DogPresident,shouldyouwishtorequestanexception/interimgrantapplication.

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GRANTINFORMATION

GENERAL DETAILS

Thesefundsareavailablefromgenerousdonors–individuals,organizations,&businesses–andtirelessvolunteers,whodesiretosupportMassachusettsPoliceDogs.Recipientsmaybeaskedtomeetwithoneormoresignificantdonor(s).Grantawardsarelimitedtofundsavailable.Thesefundsarerestrictedtothefollowinguses:

“Essentialequipment,trainingandpurchaseofdogstrainingforpolice/lawenforcementK-9programsthroughoutMassachusetts”canbefurtherdefinedandalsoincludeanyotherreasonablerequestthatisrelated,butnotstatedspecifically,inthefollowing:EssentialequipmentincludesspecializedequipmentfortheK-9dog(bullet/stab-protectiveK-9vests,K-9firstaidkits,canineoxygenmasks,reflectiveK-9gear,specializedharnesses),training/protectiveclothing(bitesuits/pants/jackets/sleeves/handprotectors/helmets),K-9cruiserspecializeditems(kennels,heatdetector/doorpopperunits,securestorageunits,doorpanels,windowguards/fans,rearA/Csystems),trainingaids(tugs,scentkits),trainingequipment(K-9agilitystructures,scent-trainingboxes).Expendables(one-and-done)itemswillnotbefunded.TrainingdistinctfromcustomaryandusualK-9trainingisfundingfortrainingstaff,K-9handlersandtheirK-9partnerstoattendtrainingseminarsortofundguesttrainers.Prioritywillbegiventotrainingthatwillbenefitmorehandlers(ie:forTrainersorforguesttrainersthatareinvitedtoconductaseminaropentomultipledepartmentsorforhandlersthatarewillingtopresentwhattheylearnedinaseminartomultipledepartments).Trainingsupportwillnotincludeminimaldepartment-requiredin-serviceforcertification,additionalareasofcertificationorre-certification/maintenancetraining.

Grantapplicationsshouldbeemailed(grants@mavestadog.org)andmailed(MAVest-a-Dog,POBOX48,WalpoleMA02081).GeneralFundsshallbedisbursedthroughagrantprocess,twiceayear,utliizingaGRANTAPPLICATIONFORM(seepages9-12):

CycleA:applicationdeadline–June15,disbursementbeginsuponawardannouncementCycleB:applicationdeadline–December15,disbursementbeginsuponawardannouncement(Deadline:emailedbymidnightofthe15thorpostmarkedbefore/onapplicationdeadline)

NOTE:Emergencyexceptionstothisbi-annualcyclemaybeconsidered.Forexample,incaseofacruiserbeingtotaledoraK-9’ssuddendeathorspecialequipmentneededtoinsuretheK-9’ssafety.PleasecontactMAVest-a-DogPresident,shouldyouwishtorequestanexception/interimgrantapplication.

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GRANTINFORMATION GRANT REVIEW PROCESS Grantsmaybescored,basedonavarietyofcriteriabyavolunteerreviewpanel,toprioritizefundingstatus.Avolunteerreviewpanelshallconsistoftwo(2)MAVest-a-Dog,Inc.BoardMembers,one(1)currentK-9handler(opentoanydepartment),one(1)retiredK-9handler,andOPTIONAL:one(1)openseat.Thebasiccorereviewcriteria/categoriesthatrequireindividualscores:

UrgencyFrequencyofuseImpactoncurrent/futureK-9/programAbilitytosharewithotherK-9sindepartment/outsideofdepartment(intraining/deploymentscenarios)LongevityofItem(expecteduseinmonthsoryears)

TheOverallImpactcommentsaretobepresentedatthebeginninginsteadofattheendofthecritiquedocumentandanoverallimpact/priorityscoreintherangeof1to9isrequired.Thescoringsystemisa9-pointratingwith1=Excellentand9=Poor(wholenumbersonly).1to3=Highimpact4to6=mediumimpact7to9=lowimpactSCORE DESCRIPTOR1 Exceptional2 Outstanding3 Excellent4 VeryGood5 Good6 Satisfactory7 Fair8 Marginal9 PoorGrantswillbereviewedwithin30days.Awardswillbeannouncedviaemailon/beforethenextmonth’s15thday,ie:

June15grantawardswillbeannouncedon/beforeJuly15 December15grantawardswillbeannouncedon/beforeJanuary15

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GRANTINFORMATIONINSTRUCTIONS TO APPLICANTS

• MassachusettsVest-a-Dog,Inc.GrantApplicationsconsistofcompletionofthefollowingform–allfourpages(pages9-12)withappropriatesignatures.

• OPTIONAL/highlyrecommended:YoumayprovideanOverallImpactletter,inadditiontotheOverallImpactStatement(seepg2ofGrantApplication),providingfurtherdetailsexplainingthenecessityofyourgrantrequest.

• Provideaquoteorscreenshotofitem(s)requested.• TheoriginalandfourcopiesoftheapplicationshouldbemailedtoMassachusettsVest-a-Dog,Inc.

atPOBOX48,WalpoleMA02081.Applicationsshouldalsobeemailedtogrants@mavestadog.org.• AllapplicantswillreceiveanemailfromMAVest-a-Dog,confirmingreceiptoftheirapplication.• MassachusettsVest-a-Dog,Inc.reservestherighttorequestadditionalinformationfrom

applicantsasneeded.• Grantswillbeevalutatedbasedonavarietyofcriteriaasnotedintheapplicationbyavolunteer

reviewpanel,toprioritizefundingstatus.Thevolunteerreviewpanelshallconsistoftwo(2)MAVest-a-Dog,Inc.BoardMembers,one(1)currentK-9handler(opentoanydepartment),oneretiredK-9handler,andOPTIONAL:one(1)openseat.Pleaseseepage7forGrantReviewProcessdetails

• Awardswillbeannouncedviaemailon/beforethefollowingmonth’s15thday,ie:July15,January15.

• Disbursement/useoftheawardfundsbeginuponawardannouncement,andmustbeusedwithinone(1)year.Awrittenextensionmayberequestedforconsideration.

• PublicRelationsResponsibilitiesofGrantAwardees–theseawardsaremadepossiblebecauseofgenerousdonorsandtirelessvolunteers–theyneedtoknowhowtheirfundingisbeingspent!

1. PhotosofallitemsshallbeemailedtoMAVest-a-Dog(grants@mavestadog.org),foruseinsocialmediaposts/collageofawardsfunded/pressreleases/newsletters,within60daysofreceipt/implementation.

2. PublicAnnouncementofAwards-Departmentsareexpectedtoannouncereceiptoftheirawardviasociamediaand/orpressreleasesand/orpressevents,within6monthsreceipt/implementation.Applicants(orrepresentativesfromtheirdepartment)mayberequestedtobepresentataMAVest-a-Dogpressconferenceatamutuallyworkabledate/time/place.

3. Failuretofollowtheseguidelinesmayjeapordizefutureawardpotential.• Excessawardfunds:Shouldgrantawarditem(s)costlessthanawardedfunds,thedifferencewill

revertintotheMAVest-a-DogGeneralFund,atthediscretionoftheMAVest-a-DogBoardofDirectors.

• NOTICE:MassachusettsVest-a-Dog,Inc.doesnotdiscriminateonthebasisofrace,color,creed,religion,nationalorigin,sex,sexualpreference,age,disabilityorveteransstatus,withrespecttothesupportwhichMassachusettsVest-a-Dog,Inc.providesinit’sArticlesofOrganization.

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GRANTAPPLICATIONFORMpage1of4

*GENERALGRANTCONDITIONSAGREEMENT

1. GENERAL CONDITIONS The applicant hereby assures and certifies that he will comply with the regulations, policies and guidelines to satisfy requirements of Massachusetts Vest-a-Dog, Inc. grant fund program.

2. PROGRAM EVALUATION In order for Massachusetts Vest-a-Dog, Inc. to properly evaluate selected grant fund programs, the recipient handler or department contact for Massachusetts Vest-a-Dog, Inc. may be contacted for follow-up information and/or updates.

3. UTILIZATION AND PAYMENT OF FUNDS - Funds awarded are to be expended only for purposes and activities covered by grantee's approved program plan and budget. Massachusetts Vest-a-Dog pays Inc program funds directly to the vendor.

4. WRITTEN APPROVAL OF CHANGES - Grantees must obtain prior written approval from Massachusetts Vest-a-Dog, Inc. for changes in program, which were not set forth in the approved application.

5. TITLE OF PROPERTY - Title to property acquired in whole or in part with grant funds in accordance with approved budgets shall be vested in the grantee, subject to divestment at the option of Massachusetts Vest-a-Dog, Inc., when its use for the program or criminal justice purposes is discontinued. Grantees should exercise due caution in the use, maintenance, protection, and preservation of such property during the period of program use. Massachusetts Vest-a-Dog, Inc. has no title interest after the termination date of the grant.

6. OBLIGATION OF GRANT FUNDS - Grant funds may not, without approval by the Massachusetts Vest-a-Dog, Inc., be obligated prior to the effective date or subsequent to the termination date of the grant period. Obligations outstanding as of the termination date shall be liquidated within 1 year. Such obligations must be related to goods or services provided and utilized within the grant period.

7. IMPLEMENTATION OF PROJECT WITHIN 1 year - Grantee agrees to implement this program within 1 year following the grant award effective date or be subject to automatic cancellation of the grant. Evidence of program implementation must be outlined in the first quarterly progress report. For just cause, grantee may apply for an extension in writing subject to approval by the grantor.

8. AUTHORITY TO APPLY - The grantee must possess legal authority to apply for the grant. This authority shall be by resolution, motion or similar action from the applicant's governing body, authorizing the filing of the application, including all understandings and assurances contained therein, and directing and authorizing the person identified as the official representative of the applicant to act in connection with the application and to provide such additional information as may be required.

9. EQUAL EMPLOYMENT OPPORTUNITY - The grantee will comply with Title VI of the Civil Rights Act of 1964 (P.L. 88-352) and in accordance with Title VI of that Act, no person in the United States shall, on the grounds of race, color, or national origin be excluded from participation in, be denied the benefits of, or be otherwise subjected to discrimination under any program or activity for which the applicant received Massachusetts Vest-a-Dog, Inc. financial assistance and will immediately take any measure necessary to effectuate this agreement.

10. PERSONNEL STANDARDS - The grantee will comply with the minimum wage and maximum hour's provisions of the Federal Fair Labor and Standards Act. Grantee will establish safeguards to prohibit employees from using their positions for a purpose this is or gives the appearance of being motivated by a desire for private gain for themselves or others, particularly those with whom they have family, business, or other ties.

11. LONGEVITY OF USE / K-9 PROGRAM - Grantees are required to meet the longevity of use of item / K-9 program requirement outlined in the grant application. In the event that the program in terminated before the agreed upon termination date the grantee will forfeit all property acquired with grant funds to Massachusetts Vest-a-Dog, Inc.

12. TRAINING AGREEMENTS - The K-9 handler will be required to participate in scheduled training and meet the minimum standards required for the certification of the police K-9 team. Furthermore, the K-9 handler will continue to participate in regular maintenance training days to maintain certification.

*I have read and understand the above general grant conditions and agree to comply with them.

_____________________________ ________________________ ____________ PrintedNameofSPVorChief SignatureofSPVorChief Date

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GRANTAPPLICATIONFORMpage2of4

GrantApplicationCycle(circleone):CycleA–deadlineJune15CycleB–deadlineDecember15Date:____________________Department:___________________________________RequestingOfficer:________________________________Tel&email:__________________________For:Handlers’Name:_____________________________K-9’sName:_______________________________Fundsrequested:$_____________________________Item(s)requested(circleone)essentialequipmenttrainingdog(s)OVERALLIMPACTSTATEMENT(howwillthisgrantbenefityourK-9program?Ifnecessary,addapageforthisprojectdescriptionandgoals):_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________VendorName/Addr/Tele/website_______________________________________________________________Description(attachdocumentation/additionalpages,asnecessary)

• ESSENTIALEQUIPMENT-FULLItemdescription/itemcatalog#/Quantity/$/S&HFeeProvide a quote or screen shot of item(s) requested.

• TRAINING–Classtitle/Date(s)/location/attendingofficer/classfee___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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GRANTAPPLICATIONFORMpage3of4

Equipment(listofitemsonpage2orattachment)Needbydate:_____________________________________SHIPTO:Name_____________________________________Department_______________________________________Addressstreet_____________________________________AddressCity/ST/Zip_________________________________ Delivery/shippinginstructions____________________________________________________________

FOREQUIPMENT&TRAININGK-9Certification(checkapplicable,ifgrantisforasingleK-9’sbenefit) ________Patrol(presentlycertified?Yes/NoIfno,estimatedstartdateoftraining:________) ________Narcotics(presentlycertified?Yes/NoIfno,estimatedstartdateoftraining:________) ________EOD(presentlycertified?Yes/NoIfno,estimatedstartdateoftraining:________) ________Othercertification(namearea___________________Presentlycertified?Yes/No

Ifno,estimatedstartdateoftraining:________)Urgency(checkone)

________Urgentlyneeded(safetyisatrisk),________Noturgentlycritical/don’thavethisequipment.Wantedwithin_____Months________Noturgentlycritical/haveequipment(replacing&/orupdating).Wantedwithin______Months

Frequencyofuse(checkone)________Daily________Weekly________Monthly________Annually________Intermittantly(onan“asneeded”basis)

Impactoncurrent/futureK-9/program(checkone)________Withoutitem,K-9programisatrisktoendimmediately(ie:cruiser/kennel/dog)________Withoutitem,K9programisatrisktoendin__________Months_______Years

AbilitytoshareequipmentwithotherK-9sindepartment/outsideofdepartment(checkone)_________equipmentwillbenefitonly1K-9/handler_________equipmentcanbeeasilysharedwithotherK9s,openaccess(ie:K9agilitycourse)_________equipmentcanbesharedontrainingdays(trainingaids:bitesuits,trainingaids)_________equipmentcanbeshared/utilizedtobenefitmultipleK9s/officersindeployment(ie:K9videocamera)

LongevityofItem(expecteduseinmonthsoryears)(fillinblank)_________months_________years

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GRANTAPPLICATIONFORMpage4of4

TRAININGONLY(checkone)__________IwillprepareaseminarformyK9traininggroup,within6monthsofthetrainingthatIhaveusedgrantfundsfor,tosharetheknowledgeIhavelearnedatthetraining.__________IwillprepareaseminarformyK9traininggroup,alsoopen/offeredtoallMassachusettsK-9handlers,within6monthsofthetrainingthatIhaveusedgrantfundsfor,tosharetheknowledgeIhavelearnedatthetraining.Failuretoshareyourtrainingknowledgewilljeapordizeyour/yourdepartment’sfuturegrantopportunities.PURCHASEofDOGSONLYWerequire thedepartmentprovideaminimumof20% required topurchase thedog. With this application you need to send a letter from your chief or sheriff (or like rank) on department letterhead stating that they are in agreement with the application and intend to proceed with the K-9 program.Source&amountof20%matchingfunds:$_________Source:______________________________CurrentK-9santicipatedretirementdate:__________Anticipatedtrainingstart(mo/yr):_____/_____NewK-9Programsonly:___________Yes/No:K-9programstart-upisdependentuponthisgrant.#ofdogsrequested:________________Our assistance to purchase a dog for K-9 work is a gift to the agency; the dogs become the property of the agency. If a dog is retired from an agency and sold to a third party for more then $1.00, proceeds equivalent to the original grant, or a pro-rated amount, shall be donated back Massachusetts Vest-a-Dog, Inc. Massachusetts Vest-a-Dog, Inc. expects by helping provide the dog for K-9 work, the agency will provide regular maintenance training, the usual patrol vehicle and equipment, and provide for the routine care and maintenance of the dog (food, veterinary care, etc.). Grants are to be utilized within one year.

FORALLGRANTS(essentialequipment,training,dogs):Ihavetheauthorityfrommydepartmenttorequestthesegrantfunds.Officer:_________________________________________________Date:___________________________ Printedname/signatureSPVorChief:_____________________________________________Date:___________________________ Printedname/signature

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PURCHASEREQUISTIONFORMinfo@mavestadog.orgPOBOX48WalpoleMA02081FAX:508-668-7149(callbeforefaxing)

~ONLYforuseofDepartment-Specific/RestrictedFunds~

ThispageisNOTpartoftheGrantApplication

FundbalanceswillbeemailedonrequesttotheDepartment’sMAVest-a-DogContactOfficer.DisbursementwillbethroughthisPurchaseRequisitionForm.Fundsmaybeusedwhenavailable,andarerestrictedtothefollowing:Essentialequipment,training,andpurchaseofdogs.

Date:____________________Department:___________________________________RequestingOfficer:________________________________Tel&email:__________________________ForHandlers’Name:_____________________________K-9’sName:_______________________________VENDOR:_______________________________________

Provide a quote or screen shot of item(s) requested.Item# ItemDescription ItemQuantity $each $total

Shipping/HandlingEstimatedbyvendor TOTALREQUEST $________

Needbydate:_____________________________________ShiptoName____________________________________________Department_______________________________________Addressstreet_____________________________________AddressCity/ST/Zip_________________________________

Delivery/shippinginstructions____________________________________________________________

_____________________________________________________________________________________Ihavetheauthorityfrommydepartmenttoauthorizethispurchaserequisition.FundsforthispurchasearefromtheavailablebalanceinmydepartmentMAVest-a-Dogrestrictedfund.Officer:_________________________________________________Date:___________________________ Printedname/signatureSPVorChief:_____________________________________________Date:___________________________ Printedname/signature