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Email
First Name
Last Name
Job Title
Organization Name
Zip/Postal Code
Role - select a role
(Role - select a role)
Animal Control Officer
Foster Caregiver
Not Listed
Pet Owner/Community Member
Shelter or Rescue Volunteer
Shelter/Rescue Director
Shelter/Rescue Manager
Shelter/Rescue Staff
Veterinarian
Veterinary Support Staff
Veterinary Technician
Must choose a value
I'm a HASS Project Participant - select one
(I'm a HASS Project Participant - select one)
No
Not sure, tell me more!
Yes
Must choose a value
Organization Type - select org. type
College/University
Government Animal Services
K-12 Student
National Animal Welfare Non-Profit/Foundation
Non-Profit Spay/Neuter Clinic
Non-Profit Veterinary Clinic
Other Organization
Private Shelter/Rescue Organization with Gov Contract
Private Shelter - No Gov Contract
Private Veterinary Hospital
Rescue Organization - No Gov Contract
Veterinary Medical Association
Animal Related Business - For Profit
No Organization Affiliation
Must choose a value
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