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Program/Service Information <br />1. ProgramlService Name* <br />Fixed, Chipped, and Healthy Pets for Hawaii <br />2. Number of years the programiservice you are applying for has been in operation. *. <br />3. For the program(service for which you are applying, do you currently have or anticipate having any other <br />contractsfagreements with any other County of Hawaii department during the fiscal year of this grant cycle (July <br />1, 2026 - June -30, 2027)?'. <br />, Yes <br />No <br />4. If you answered "Yes' to the previous question, please tell us with what department and briefly describe the <br />contractlagreement deliverables." <br />Transfer Partner with County of Hawaii Animal Control and Protection Agency, taking in over 300 animals a year <br />from the County. <br />S. Have you previously appliedfor and received a County WaiWal Nonprofit Grant Award within the last three <br />years? * <br />Yes <br />; No <br />6. Select all areas of Hawaii Island where the program/service will be administered, delivered, and implemented. * <br />d Puna <br />South Hilo <br />North Hilo <br />E;nj Ham�ikua <br />1~; North Kohala <br />Ej South Kohala <br />t North Kona <br />." South Kona <br />Ka'0 <br />7. If multiple boxes were checked in the previous question, please briefly describe your capacity and plan to <br />outreach to those geographic areas. <br />Our adopters are across the entire island.. Action 4 Animals Hawaii has foster families across east Hawaii, and <br />holds adoption and educational events in Hilo, lower Puna, and Volcano. <br />S. Identify the age group of the target audlence(s) the programiservice will serve.* <br />,3lnfancy(0-3) ('PlayAge(3-5) 0 School Age (6-11) <br />Adolescence (12-17) 0 Young Adulthood (18-39) M Middle Adulthood (40-59) <br />Kupuna(60+) <br />9. Identify the primary services or activities to be provided."' <br />',3 Educational concerns <br />'_, + Culture and the arts <br />Needs of the poor <br />Ll Victims of health or social crises <br />`..x) Youth <br />lW: Aged <br />,�D Victims of crimes <br />I" Physicaltemotional disabilities <br />Public health and welfare of the people and the <br />environment <br />Action 4 Animals Hawaii - Fixed, Chipped, and Healthy Pets for Hawaii <br />