DPCA Membership Application with Sponsors

Applicant's Name

First NameLast Name

Email

example@example.com

MemberID*

Enter the assigned Memberid

Approval Decision

ApprovedDenied

Thank you for your interest in joining the Doberman Pinscher Club of America.

Before you continue, please be sure you and your sponsors meet the application requirements:

You own at least one Doberman that resides with you
You have owned Doberman(s) for at least the previous 12 consecutive months
You are not currently under investigation by the AKC, or any animal welfare agency
Both sponsors are a DPCA active member in good standing for at least the previous five (5) consecutive years
Neither sponsor may be a member of your household or the same household
Neither sponsor has sponsored more than two (2) applicants in the calendar year
At least one of your sponsors has physically been to your home where your Doberman(s) live
Both sponsors know you well and are in agreement to sponsor you
Both sponsors must complete and sign their individual Sponsor Form within 30 days for the application to be complete
You have the correct email address for both sponsors

Do you and your sponsors meet ALL the above requirements?*

YesNo

At this time you do not meet the requirements to apply.

Please close this window and come back when all requirements are met.

The DPCA exists to support both the Doberman and the club's members.

The members of the DPCA see something special in Dobermans and want to preserve those qualities that make it unique.

Therefore, DPCA members band together to uphold the breed standard and to educate and assist other interested Doberman owners. Thank you for your interest in joining us in our ongoing mission.

To ensure important emails are properly delivered and not sent to spam, we recommend you add DPCAMembershipSecretary@dpca.org email to your email’s safe sender list.

Any false information provided on this application will be grounds for immediate revocation of membership without appeal.

Annual Dues of $40.00 (Domestic), $20.00 (Junior 10-17 years old), or $65.00 Foreign ($40.00 Dues + $25.00 Postage) US funds payable at the time of application for membership.

Your application will not be sent to the Membership Secretary until you and both of your sponsors complete the application. It is your responsibility to ensure your sponsors complete their portion within 30 days.

Be sure to contact your sponsors for permission and let them know an invitation to complete the Sponsor Form will be sent to their email.

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Phone Number*

Area CodePhone Number

Your Email*

Confirmation Email

How many Dobermans do you own that live with you at your residence?*

Have you owned at least one Doberman for the previous 12 consecutive months?*

YesNo

For how long have you owned Doberman(s)?*

Less than 1 year1-2 years3-5 years6 + years

Thank you for your interest in joining the DPCA but currently you do not meet the requirements to apply.

Please select which type of membership you are applying for

AssociateActive

Please select the types of clubs you are currently active in*

Do you hold an officer, delegate, or board position in your chapter club?*

YesNo

Which of these position(s) do you hold?*

President/Vice President/Secretary/Treasurer/DelegateBoard Member

Please tell us what month and year you were first voted into your position.*

Please list the volunteer positions you have held/currently hold in the club(s) you chose above. Examples include but are not limited to committee member, show chair, event committee, work at club events.*

How often do you currently attend meetings and/or volunteer for the club(s) you chose above?*

Please provide two references from the club(s) you are most active in.

Reference #1 Name:*

First NameLast Name

Reference #1 Club Name:*

Reference #1 email:*

example@example.com

Reference #1 Phone:*

Area CodePhone Number

Reference #2 Name:*

First NameLast Name

Reference #2 Club Name:*

Reference #2 email:*

example@example.com

Reference #2 Phone:*

Area CodePhone Number

Have you attended the DPCA National Convention?*

YesNo

What years have you attended? What was your most enjoyable experience at a National you attended?*

Do you plan to attend the DPCA National Convention in the future?*

YesNoNot sure

In what years do you plan to attend? What is your main reason for wanting to attend?*

Please list the activities/events you participate in with your Doberman now and in the last 5 years. *

Please attach the 3 most recent title certificates you have earned with your Doberman.

Browse Files

Are you 18 years of age or older?*

YesNo

Provide Date of Birth*

Date

Parent/Guardian Name

First NameLast Name

Parent/Guardian Phone

Area CodePhone Number

Parent/Guardian Signature

Clear

Are you in good standing with the AKC?*

YesNo

Please explain your current level of involvement with AKC events, which events, and future plans in AKC events. Please be specific and provide as much detail as possible.*

Please explain the reason/situation you are not in good standing with the AKC. Please be specific and provide as much detail as possible.*

Has your membership in any dog club ever been refused, revoked, or suspended? If yes, please explain the reason/situation.*

Interests or abilities you can contribute to the DPCA. Please be specific. *

ENDORSEMENT

You must provide the email address of two (2) sponsors who are DPCA active members in good standing for at least the previous five (5) consecutive years and not members of the same household or your household. In addition, your sponsors can only sponsor two (2) applicants per calendar year.

Please enter your sponsor emails below and click 'verify' for each one, one at a time. If the email matches what we have on file for the member, their information will auto-populate. Please check your entry for typos if it doesn't produce a match. You will need to enter a correct email in order to continue.

Be sure to contact your sponsors for permission and let them know a request to complete a Sponsor Form will be coming in their email.

To ensure important emails are properly delivered and not sent to spam, we recommend you ask your sponsors to add DPCAMembershipSecretary@dpca.org to their email’s safe sender list.

Enter the email of Sponsor #1 and click the button 'Click to verify sponsor #1 email'*

Sponsor #1 Name*

Enter the email of Sponsor #2 and click the button 'Click to verify sponsor #2 email'*

Sponsor #2 Name*

{name_sponsor1} has not been a member for at least the previous five (5) consecutive years, therefore they are ineligible to be one of your sponsors. You will need to choose a different sponsor.

{name_sponsor2} has not been a member for at least the previous five (5) consecutive years, therefore they are ineligible to be one of your sponsors. You will need to choose a different sponsor.

MemberSince_1

MemberSinceDate_1

Date

YrsMember_1

MemberSince_2

MemberSinceDate_2

Date

YrsMember_2

Sponsor #1 Email*

example@example.com

Sponsor #2 Email*

example@example.com

S1

S2

Your sponsors need to have different email addresses.

You need two different sponsors.

Has one of your sponsors physically visited you and your Doberman(s) at your residence? *

YesNo

Has {s1} done a visit?*

YesNo

Has {s2} done a visit?*

YesNo

At this time you do not qualify to apply. Once the home visit has been completed, we welcome you to come back and re-apply.

What was the date of their most recent visit?*

Month/Year

How long have you known your sponsors? How did you meet them? Please be specific and provide as much detail as possible.*

How many dogs currently live on your property?*

How many litters of any breed are whelped by or for you per year?*

If you co own any bitches that do not live with you, how many litters do they produce per year?*

Have you ever been investigated by the AKC, or any animal welfare agency? Please provide the name and address of the agency, details of the investigation, and the outcome. If you are currently under investigation by an animal welfare organization, it is the policy of the DPCA Board of Directors to ask that you re-apply for membership after the investigation has been completed and disposed.*

Have you or any member of your household held or hold a membership, volunteered for, or contributed to the HSUS, PETA or a similar organization? *

YesNo

Have you ever transferred a puppy or dog, that you owned or bred, to a rescue organization, retail outlet or commercial broker for placement?*

YesNo

What are your views on puppies/dogs transferred to retail outlets and/or commercial brokers? Please be specific and provide as much detail as possible.*

What are your views on the practice of cropping and docking the Doberman Pinscher? Please be specific and provide as much detail as possible.*

Under what circumstances would you breed your current dog/bitch? If you have no plans on breeding, state why. Please be specific and provide as much detail as possible.*

What is your objective as a breeder? Please be specific and provide as much detail as possible.*

Have you ever bred, owned, co-owned or lived with a WZ/Z-factored/White factored or an Albino Doberman? If so, how did you acquire it? Has it been bred since living with you? If the answer is yes, please explain and provide as much detail as possible. Is it currently spayed/neutered? *

Have you or any household member in any manner circumvented the WZ designation? If the answer is yes, please explain and provide as much detail as possible. *

Have you or any household member ever bred two different breeds of purebred dogs to each other? If the answer is yes, please explain and provide as much detail as possible.*

How many Dobermans have you owned or co-owned? From whom did you acquire them? Where are those dogs now? Please be specific and provide as much detail as possible.*

Please share with us any information relevant to your dog-owning history. Please be specific and provide as much detail as possible.*

If you could change the description of the Doberman Pinscher in any way what would that include? Please be specific and provide as much detail as possible.*

Do you have a mentor?*

YesNo

Who do you consider your mentor/person of influence for the breed? What makes this person(s) your choice? Please be specific and provide as much detail as possible.*

Would you like one?*

YesNo

Please list qualities you would like in a mentor. Please be specific and provide as much detail as possible.*

Have you ever been a member of the DPCA or applied to the DPCA before?*

YesNo

When were you a member of the DPCA or when did you apply to the DPCA?*

Why do you want to join the DPCA? Please be specific and provide as much detail as possible.*

Membership comes with the expectation of volunteerism. Please indicate which DPCA committees are of interest to you and be prepared to be contacted in the future by the committee chair.

I represent that my answers to any and all questions are truthful and complete. I represent that all information on this application is correct. Should this not be the case my application will be denied or if discovered later will be grounds for revocation of membership without appeal.

Applicant Signature

Clear

MTFromApp

DUES PAYMENT

Please pay your Membership Dues using PayPal or a Credit Card. Once your dues have been paid, your sponsors will receive an email requesting them to fill out their sponsor portion. It is your responsibility to ensure that your sponsors fill out their portions within 30 days. Should they not complete within 30 days, your payment will be refunded and you will need to reapply.

Based on the information you provided on your application, the Membership Type has been chosen. If you believe this to be incorrect, please review the information you provided above.

Membership Type*

Domestic - $40International - $65Junior - $20

Total

Total Due

USDApplicant Dues

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date*

Date

s1DateReminder

Date

Sponsor Filled

The role of a sponsor is extremely important. It is your recommendation upon which the DPCA Board and current members rely when welcoming new participants into the club. The expectation is that you not only know the party you are sponsoring personally, but interact with them directly, either within a club, show, performance or rescue activity and have directly observed their dogs and their care by visiting the home in person. It is your signature that is vouching for the character and participation of any new member when you fill out the sponsor portion of the application. To that end, please provide as much detail as possible for the applicant.

To be eligible for sponsorship, you must:

know the applicant well
be an active DPCA member in good standing for at least the previous five (5) consecutive years
not have sponsored more than two (2) applicants this calendar year

Your Full Name:*

Applicant's Name

First NameLast Name

I have personal knowledge of {name_applicant}, including their interests in the breed, sportsmanship, and ethical conduct.*

YesNo

Thank you but you do not qualify to sponsor {name_applicant}. An email will be sent to the applicant informing them that they will be required to have another sponsor.

The applicant must have a physical home visit by at least one of their sponsors. Were you the sponsor designated to do the home visit?*

YesNo

Have you physically visited the applicant’s residence?*

YesNo

What was the date of the most recent visit?*

Month/Year

Please describe their residence and their dogcare facilities. Please be specific and provide as much detail as possible.*

I have been a member of the DPCA for Number* years and I wish to sponsor {name_applicant} for membership in the Doberman Pinscher Club of America.

How long have you known {name_applicant}?*

How did you become acquainted with them? Please be specific and provide as much detail as possible.*

Please describe what you have personally observed of the care, maintenance and overall condition of the applicant’s dog(s). Please be specific and provide as much detail as possible.*

What have you personally observed in this person that you feel will make them an asset to the DPCA? Please be specific and provide as much detail as possible.*

Would you sell the applicant a dog? Please explain your answer and provide as much detail as possible.*

How often do you interact with the applicant on the telephone, at shows, at club meetings, at their home etc? Please be specific and provide as much detail as possible.*

Please provide any other information which you feel would be useful to the Board in voting on this applicant. Please be specific and provide as much detail as possible.*

Signature*

Clear

Date

Your Full Name:*

Applicant's Name

First NameLast Name

I have personal knowledge of {name_applicant}, including their interests in the breed, sportsmanship, and ethical conduct.*

YesNo

Thank you but you do not qualify to sponsor {name_applicant}. An email will be sent to the applicant informing them that they will be required to have another sponsor.

The applicant must have a physical home visit by at least one of their sponsors. Were you the sponsor designated to do the home visit?*

YesNo

Have you physically visited the applicant’s residence?*

YesNo

What was the date of the most recent visit?*

Month/Year

Please describe their residence and their dogcare facilities. Please be specific and provide as much detail as possible.*

I have been a member of the DPCA for Number* years and I wish to sponsor {name_applicant} for membership in the Doberman Pinscher Club of America.

How long have you known {name_applicant}?*

How did you become acquainted with them? Please be specific and provide as much detail as possible.*

Please describe what you have personally observed of the care, maintenance and overall condition of the applicant’s dog(s). Please be specific and provide as much detail as possible.*

What have you personally observed in this person that you feel will make them an asset to the DPCA? Please be specific and provide as much detail as possible.*

Would you sell the applicant a dog? Please explain your answer and provide as much detail as possible.*

How often do you interact with the applicant on the telephone, at shows, at club meetings, at their home etc? Please be specific and provide as much detail as possible.*

Please provide any other information which you feel would be useful to the Board in voting on this applicant. Please be specific and provide as much detail as possible.*

Signature*

Clear

Date

DPCA Membership Application

ENDORSEMENT

DPCA Sponsor Questionnaire