1 Introduction2 Living Situation3 Personal Information4 Pet Information5 Complete Application About this application S.P.O.T. raises funds to assist low/no income Lane County dog owners with co-pays for spay/neuter vouchers. Voucher amounts vary depending on need. Because we must raise all our funds, we ask our clients to contribute what they can toward the fee. After your application has been accepted, you will be able to schedule an appointment with the clinic. This application is split into sections. You can navigate between pages using the Next and Previous buttons below. Press NEXT to begin the application. My monthly household income is*My employment status*EmployedUnemployedI receive the following assistance: Unemployment SSI Disability Oregon Health Plan (OHP) Food Stamps (SNAP) Section 8 Housing Other (If checked, a text box will appear for you to explain) Explain your other type(s) of assistance*I am currently homeless*YesNo My Name* First Last Home Phone Number*Cell Phone NumberEmail Address CityZip Code Dog's Name*Breed*Gender*MaleFemaleEstimated Weight*Age (Years or months)*Health issues, if any How did you hear about S.P.O.T?Examples: Personal referral, WAG referral, SPOT website, WAG website, Poster/Flyer, Facebook, Past Client, etc.PhoneThis field is for validation purposes and should be left unchanged.