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Before submitting your NCSR Membership Application, please take a few minutes to read over our Policies and Procedures and understand our Mission as noted on our Contact Us page.

Address:
PO Box 1147
Holly Springs, NC 27540
 
Phone:
(919) 434-5091
 
Fax:
(919) 882-9715
 
Email:

rescue@ncschnauzers.org

 
NCSR Membership Agreement and Code of Conduct

To apply for NCSR membership, you must be at least 21 years old and be a current resident of North Carolina.

As a member of North Carolina Schnauzer Rescue, Inc. (NCSR), I give my pledge and promise to abide by the policies of this organization (including, but not limited to, the Policies and Procedures, and By-Laws) and to conduct myself in a professional, courteous and ethical manner at all times to other members of the organization as well as in any capacity where I associate myself with NCSR. If I am involved in rescue activities that involve miniature schnauzers in any way, I will immediately advise the NCSR Board of Directors as to the nature of my involvement to assure compliance with NCSR Policies and Procedures as well as to assure there is not a conflict of interest.  I will promote the ethical treatment of animals and responsible pet ownership according to the guidelines within the policies of NCSR.  I understand I will receive descriptions of duties appropriate to the tasks I am volunteering for and agree to follow those guidelines at all times. I also understand that I will undergo the same investigation that is required of any adoptive applicant when they have requested to adopt one of NCSR’s rescue schnauzers. After my membership has been approved, I will maintain regular contact with the NCSR Board of Directors and work under the direction of any mentor or committee chairperson to which I am assigned. By completing this form, I understand that my membership may be revoked at any time if I am found to have reneged on this pledge in any way.  I agree to perform all assigned duties and turn in all paperwork in a timely manner and will maintain appropriate records as needed.
 Applicant Information
Applicant Name:       
Street Address:      
City: State: Zip:    
         
Driver’s license: State:    
Telephone home:      
Work:      
Cell:      
Email Address: Date of Birth:  
         
No. of people in the household:    
If children, please list ages:        
         
Are you presently: Employed Employer:  
  Unemployed      
  Retired      
  Student      
         
Co-applicant/Spouse Name: Relationship:  
Email Address: Date of Birth:  
Are you presently: Employer:  
       
       
       
         
Home/Environment Information  
Type of residence:





     
     
Do you have a fenced yard?  
     
Describe the activity level in your home:   





 
       
 
       
 
         
Current/Former Pet Information  
Please list any current or former pets within the past 5 years (names, breeds, ages) and where they are now:
  

Current or past VETERINARIAN information (Name , Address, Phone #):

  
Are all your pets (current or past) spayed or neutered:    
Are your pets (current or past) up to date on all vaccinations?:    
Are your pets (current or past) on heartworm preventive:    
If you answered “no” to any of the above questions, please explain your answer:  

 

 
VOLUNTEER Information  

I would like to Volunteer for the following duties/responsibilities (check box to the left of each):

  

Foster Home (will need to complete a separate Foster Agreement and follow a list of foster guidelines)
How many hours per day will foster dogs be left alone?:
References Team / Clerical Duties (phone calls, reference checks, documents updates, etc)
Fundraising Committee / Pet Fair Assistance
Membership Committee (clerical duties surrounding NCSR Membership)
Transport Driver and/or Rescue Intake from Shelters
Shelters Committee (searching the web for schnauzers in need of rescue)
Follow-up Committee (phone calls to check on adopted dogs, updating spreadsheet)
Grooming Services

References
(Please let your references know in advance we will be contacting them. No Family Members please.)

#1 Name: Relationship:
Phone: Best time to contact:
Email:
   
#2 Name: Relationship:
Phone: Best Time to contact:
Email:
   
#3 Name: Relationship:
Phone: Best Time to contact:
Email:
   

****RELEASE OF LIABILITY AND INDEMNITY AGREEMENT****

For and in consideration of Volunteer being allowed to work with dogs from North Carolina Schnauzer Rescue, Inc., I the named Volunteer hereby fully and forever release, discharge, acquit and exonerate North Carolina Schnauzer Rescue, Inc., its volunteers, board members, affiliates and all others acting on its behalf (collectively abbreviated as "NCSR"), as the contact permits, form any and all claims, actions, causes of action, remedies and complaints fo any kind which I have or may in the future have, whether known or unknown, arising out of or relating to the dogs or my volunteer work for NCSR, including specifically all claims for personal injury, paralysis, wrongful death, property damage and all claims resulting from any injury inflicted by the dogs. I recognize and accept all risks associated with unpredictable dog behavior on behalf of myself and my family. I specifically assume all risks arising out of or relating to care and handling of the dogs. I recognize that NCSR and/or its agents, volunteers, or affiliates makes no representations whatsoever as to the past history of the dogs and whether or not they are safe dogs. I agree to defend, indemnify and hold harmless NCSR from any and all claims and costs, including attorney fees arising out of or relating to the dogs or my volunteer work with NCSR. I have read the foregoing and voluntarily agree to the terms set out above and so indicate by signing my name below on this Membership Agreement and Code of Conduct application.

Applicant Name: Date:
Co-Applicant Name: Date:

* To become an NCSR Member, we will complete your reference checks as well as a Home Visit just like our adoption applicants before we �approve� you for membership. This will help familiarize you with the process so you may share it with potential adoptive families, and will also �pre-approve� you in case you ever decide to adopt a rescue as well! *

Membership dues are $25.00 (one-time) per person, with an annual renewal fee of $10 (which may be waived for volunteer services performed throughout the year as long as you remain an active member.)

You will be notified by email once you are an approved member and will be added to the NCSR-Members Yahoo group email list. Please note: our approval process can take between 2-4 weeks or more. If you have any questions at any time about the status of your application, please email rescue@ncschnauzers.org

Once approved, you will receive a Membership Welcome packet in postal mail that includes an envelope to send in your $25 membership fee.

TO APPLY for MEMBERSHIP, you must submit this form online (click the SUBMIT button below) then also PRINT the following confirmation page, put your signature at the bottom of that printed page, and mail it to this address:     

North Carolina Schnauzer Rescue, Inc. (NCSR)
Attn: Membership
PO Box 1147
Holly Springs, NC 27540

Thank you for your desire to volunteer and help needy miniature schnauzers!

 
 
         

 

 

 

 

Thank You
Terms of Use North Carolina Schnauzer Rescue, Inc. is a 501(c) (3) tax exempt non-profit organization. Website design and content are � 2007 North Carolina Schnauzer Rescue, Inc. unless otherwise noted. Please do not copy or take anything from this website without written permission.