NESDCA K-9 Team Evaluator Application

    NESDCA uses the information in this application to determine your qualifications as an K-9 Team Trainer and to ensure that NESDCA will contain a fair balance of interests. NESDCA will not use this information for any other purpose than the above. Please provide us with as much information as you feel will assist us in the APPROVAL process.

    Most Fields are Required

    Name of Individual
    Title
    Employer
    Mailing Address
     
    City
    State/Province
    Country
    Zip/Postal Code
    Telephone
    Fax
    Email Address

    FEE: There is no fee to become a NESDCA K-9 Team Evaluator. There may however be expenses associated with travel in the event travel is required by NESDCA to evaluate a potential evaluator.


    Please indicate type(s) membership you currently hold:
    Regular MemberHandlerOther (Please indicate below)


    1. QUALIFICATIONS OF APPLICANT

    a. Provide evidence of your general knowledge, experience in the evaluation of dog teams.

    b. Will you be able to actively participate in NESDCA including responding to correspondence, attending NESDCA meetings, and calls from handlers for evaluation in acceptable time period?
    YesNo

    d. List the number of dog teams you have evaluated and/or trained in the past.


    2. ADDITIONAL INFORMATION

    List the company name or organization you're currently employeed by.

    a. Provide any additional information regarding Law Enforcement, SAR background etc.


    3. ADDITIONAL COMMENTS


    Abide - If granted NESDCA Evaluator status, I agree to abide by the RULES and BY-LAWS and agree to notify the Secretary of the NESDCA of a change in status, including change of employment, organization represented, location or funding source.
    Attest - I attest that all of the information on this application is true and accurate.

    Type your FULL NAME
    Today's Date