NESDCA K-9 Team Evaluator Application

NESDCA uses the information in this application to determine your qualifications to be a K-9 Team Evaluator 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.
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.

1. QUALIFICATIONS OF APPLICANT

a. Provide evidence of your general knowledge, experience in the evaluation of dog teams. Include additional pages if needed to fully disclose your qualifications.

b. Provide evidence of you general knowledge, and experience in training of dog teams. Include additional pages if needed to fully disclose your qualifications.
c. 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? YES         NO
d. List the number of dog teams you have evaluated and/or trained in the past.

2. ADDITIONAL INFORMATION

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

b. Provide any additional information regarding Law Enforcement, SAR background etc.
3. ADDITIONAL COMMENTS

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.

I attest that all of the information on this application is true and accurate.
Type your FULL NAME
Today's Date