ADCH Affiliate Membership Application Form

ADCH Membership Application Form

Affiliate Member
ADCH Affiliate Membership Criteria

Affiliate Membership is intended for not-for-profit organisations who are actively supporting (but not directly involved) in the dog and cat rescue and/or rehoming sector. This includes FE/HE/educational establishments and other animal welfare/industry organisations who do not rehome animals.
Please confirm your organisation meets the following criteria for Affiliate Membership:*

Registered and working in the UK and/or Republic of IrelandActively supportive of the rescue and/or rehoming of dogs and/or cats. Must not be involved in any activity that is in conflict with the stated aims and values of the ADCH.Comply with all current animal welfare related legislation in the jurisdiction within which they operateMust operate on a non-commercial basisNot be directly involved in animal importationSympathetic to and compatible with the values of ADCHDeclare that they are not aware of any Trustees or Senior Staff Members with any previous convictions for animal welfare offences
1. Your Details
Name*

First NameLast Name
Role/Job Title*
Email*
example@example.com
Contact Telephone

Area CodePhone Number
Mobile Telephone

Area CodePhone Number
2. Organisation Details
Name of Organisation*
Operations/Correspondence Address*

Street Address

Street Address 2

CityCounty

Postcode
Website
Facebook Address
Twitter Address
LinkedIn Address
How is your organisation registered?
Is your organisation a registered charity?

YesNo
Is your organisation a registered not-for-profit company?

YesNo
Please note that the eligibility critera for affiliate membership requires organisations to be a reigstered charity or not for profit company.
Charity registration number
Company registration number
Year Organisation Was Founded*
3. Finance Details
Organisation Financial Year-End*

MonthDayYear
Date
Gross Annual Income (most recent financial year)*
Finance contact*

First NameLast Name
Finance email*
example@example.com
Finance Email*
Finance Address (if different to address provided above)

0/255
4. Operational Details
What type of work does your organisation do?*
What areas do you operate in?*

Channel IslandsIrelandNorthern IrelandEast EnglandEast MidlandsGreater LondonNorth East EnglandNorth West EnglandSouth East EnglandSouth West EnglandWest MidlandsYorkshire and HumberMid WalesNorth WalesSouth East WalesSouth West WalesAberdeen & GrampianAngus & DundeeArgyllAyrshireDumfries & GallowayEdinburgh & the LothiansFifeGlasgow & Clyde ValleyStirling & The TrossachsThe Shetland IslandsThe Scottish HighlandsOther
5. Supporting Documents and Other Information
Please upload a copy of your organisation's constitution or governing document and copies of your last two full year's accounts. If you are a new organisation and do not have two full years' accounts, please provide any full sets of accounts you do have, and balance sheets to fill any gaps:*

Cancelof
Please provide any other information you feel may be useful:*
6. ADCH Safeguarding
ADCH has a safeguarding policy for the protection of members and applicants which is available via link below. Any questions can be referred to enquiries@adch.org.uk

Safeguarding Policy
Can you confirm you have read the document.*

YesNo
And Finally.....
Where Did You Hear About ADCH?*

ADCH Conference/Open MeetingAnother ADCH MemberADCH Grant ApplicantBattersea AcademyCommunication from a Funder (please provide details below)Communication from your national ministry (please provide details below)National GovernmentSocial MediaWeb searchOther (please provide details below)
Other
What is your main reason for applying for membership?*
Should be Empty:

ADCH Membership Application Form

ADCH Affiliate Membership Criteria

1. Your Details

2. Organisation Details

3. Finance Details

4. Operational Details

5. Supporting Documents and Other Information

6. ADCH Safeguarding

And Finally.....