Humane Alliance: A Program of the ASPCA

Open a Clinic (NSNRT)

The National Spay/Neuter Response Team (NSNRT) is a strategic training program that addresses the urgent need for a skilled and well-organized mentor to help guide other humane organizations in the self-sustaining operation of high-quality, high-volume spay/neuter clinics. We are committed to sharing information and best practices, and proud to have played a small part in what our 150+ mentored clinics have accomplished, creating a network of spay/neuter professionals who foster supportive ties that span the nation. View NSNRT Clinics

Are You Ready to Join Us?

With this subsidized ASPCA mentorship program, there is no cost to your organization. Your only expenses will be: raising building purchase/lease funds; paying for any necessary building renovations; collecting reserve funds for your first year of opening; buying start-up equipment and consumables; as well as travel expenses related to your team's visit to Asheville for training. Grants are also available to help with equipment and travel (application required).

To apply for the program, please follow the steps below:

The National Spay/Neuter Response Team (NSNRT) is a strategic training program that addresses the urgent need for a skilled and well-organized mentor to help guide other humane organizations in the self-sustaining operation of high-quality, high-volume spay/neuter clinics. We are committed to sharing information and best practices, and proud to have played a small part in what our 150+ mentored clinics have accomplished, creating a network of spay/neuter professionals who foster supportive ties that span the nation. View NSNRT Clinics

Are You Ready to Join Us?

With this subsidized ASPCA mentorship program, there is no cost to your organization. Your only expenses will be: raising building purchase/lease funds; paying for any necessary building renovations; collecting reserve funds for your first year of opening; buying start-up equipment and consumables; as well as travel expenses related to your team's visit to Asheville for training. Grants are also available to help with equipment and travel (application required).

To apply for the program, please follow the steps below:

Step 1: Assess Your Eligibility

Before applying for the NSNRT program, please ensure that you have read and can guarantee our eligibility requirements. If you have any questions on whether you qualify, please email This email address is being protected from spambots. You need JavaScript enabled to view it.. Download

1. Sufficient Need in Your Area

If there are existing spay/neuter programs (NSNRT or other models of stationary clinics, mobile vehicles, MASH) within 2 hours of your proposed location, we ask that you have strategic discussions with them to determine if there is truly a need for additional spay/neuter facilities.

2. Ability to Perform a Sustainable Amount of Surgeries 

Any organization applying to be a member of the NSNRT must show the ability to be financially stable and sustainable. We have a budget spreadsheet and resources to help you determine your sustainability level.

Financial sustainability will look a bit different for every organization, depending on your overhead structure with ownership of a building vs. leasing/renting being the most common variable.

  • For organizations with high overhead, their clinic will need to do 8,000-8,400 surgeries per year with one vet to be sustainable (35/day x 5/days x 48 weeks). To accomplish 8,400 surgeries, the clinic must be located in an area with a human population of at least 250,000 people in a 60-mile radius.
  • For organizations with a lower overhead, the sustainable number of surgeries may be in the range of 5,000-6,000 per year with one vet. The required human population to support this surgical numbers would be correspondingly lower.

501(c)3 Status or Municipal Animal Control

Your organization has (or can obtain) 501(c)(3) status, or is a municipal agency. You must be able to raise the funds, or obtain grants, to lease/purchase and remodel a building, purchase equipment, send your new clinic team to Asheville for training, and have at least $35,000 in cash reserves on your opening day.

Understanding Your State's Regulations

You are responsible for understanding your state regulations regarding your state's veterinary practice act and state pharmacy laws, and keeping up with any changes. Each state is different and you should periodically check to ensure you are in compliance. Humane Alliance does not provide legal advice or advice on complying with these laws. You should consult an attorney for legal advice on compliance of laws.

Agree to Our Terms & Standards of Care

A signed version of our Veterinary Standards of Care and Memorandum of Understanding will be required at the initial application stage. 

Step 2: Complete the NSNRT Application

Complete and submit the NSNRT Application Form. If you need help with any portion of the application, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it..

Once submitted, you will be contacted within 10 days to discuss whether the program is a good fit for your circumstances. At this time, we'll review next steps.

Step 3: Submit Additional Documents

Upon acceptance into the program, please submit the following documents to This email address is being protected from spambots. You need JavaScript enabled to view it.:

    1. Memorandum of Understanding
    2. Proof of nonprofit status (or FEIN number for municipal animal control)
    3. Financial statements (most recent 990 and/or P&L or balance sheet)
    4. Signed Veterinary Standards of Care document
    5. Budget spreadsheet (after other documents are complete. See Budget Spreadsheet Guide & our Budget Spreadsheet How-To Video for help)
    6. Board of directors list

Step 4: Discuss Mentorship Outline

We'll discuss all of the steps, including floor plans, equipment lists, hiring staff, and a timeline.

Step 5: Confirm Training Dates

Once your renovations are complete, your staff hired, and your equipment ordered, we'll set up a training time with you for your team to visit our training center in Asheville, NC.

Step 6: Apply For Temporary NC License

If appropriate, have your veterinarian complete and submit the Application for 60-Day Temporary Permit Certificate at least 60 days prior to your scheduled training. We will provide you with a pre-signed document that is specific to our organization, and should be sent to the North Carolina Veterinary Medical Board. The application must also include:

  1. $150 check or money order;
  2. A passport photo taken within six months;
  3. Transcript from college/school of veterinary medicine;
  4. License verification from state where currently licensed;
  5. Copy of Social Security Card.

Step 7: Prepare For Training

Before you arrive, please provide us with

  1. Complete and submit our Training Preparation Form.
  2. Familiarize your team with the details of our program by reading our Pre-Arrival Information Sheet.
  3. You can also prepare for some of our training by viewing our E-Learning content, which contains management and operational support.

FAQs

How far in advance are you booking?

This varies, so please check with the Director of Programs who will discuss a timeline with you for training. Contact This email address is being protected from spambots. You need JavaScript enabled to view it.

How often do you schedule training?

Our training program runs 50 weeks of the year.

I am licensed in the U.S. Do I need a temporary license?

Unless you are licensed in North Carolina, you will need to acquire a temporary North Carolina license to perform surgeries at our clinic.

Are you open during holidays?

We have no training on Memorial Day, Independence Day, Labor Day, or Thanksgiving. We usually finish surgeries at noon the day before Independence Day and Thanksgiving.

Will I receive Continuing Education Credits?

We are approved by the North Carolina Veterinary Medical Board to award continuing education credit (CEC). For each hour trained (excluding breaks) will earn 1 CE credit. Participants will typically train for 6-7 hours per day.

Participants are responsible for contacting their own state veterinary boards to verify that CECs obtained from this course are accepted, preferably prior to attendance. We are not responsible for providing any other documentation about our program that is not listed on our website.

We are not currently RACE-approved.

Do you provide accommodation?

Sorry, no. We only provide accommodation for participants of the Extern Training Program. However, we have secured great preferred rates with three Asheville hotels, but take a look around, as you may be able to find a better deal. There are also two great hostels in Asheville.

Is there anything I should prepare?

Sure. You could watch our surgical training videos and become familiar with our protocols here. You could also read our reference guide here, and our pre-arrival information here

What should I bring?

Please take a look at our pre-arrival information (arrival times, what to bring, accommodation recommendations)

Do I need a car?

Yes, getting off-campus and around Asheville is approximately 6 billion times easier with a car.

Can I start on a Tuesday?

Sorry, no. To keep the number of surgeries as high as possible, we only provide one orientation, which takes place on a Monday morning.