us k9 unlimited, inc. dog training academy va benefits · us k9 unlimited dog training academy...
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US K9 UNLIMITED DOG TRAINING ACADEMY 10919 ODILON RD. KAPLAN, LA. 70548
USA
OFFICE: (855) 875-9364 [email protected] WWW.USK9.COM
FAX: 866.841.4910
1
YOUR VA FILE NUMBER:________________________________________________________ (you can get this from your “Certificate of Eligibility” you received from VA) Full Name:______________________________________________________________________ Preferred Name:__________________________________________________________________ Former Name (if any): _______________________________________________________________________________ Address:________________________________________________________________________ City:_________________________ State:_______ Zip:____________ Country:____________ Telephone (please list all applicable numbers): _______________________________________________________________________________ EmailAddress:___________________________________________________________________ Birth date: ____________________________ Male: ____________ Female: _____________ SSN: __________________________________________________________________________ Have you ever been convicted of a felony? Yes_____ No_____ (if yes, please provide information) Have you ever been arrested or convicted for possession or use of narcotics? Yes___ No_____ (if yes, please provide information)
U S K 9 U N L I M I T E D , I N C . D O G T R A I N I N G A C A D E M Y
V A B E N E F I T S V E R I F I C A T I O N F O R M
US K9 UNLIMITED DOG TRAINING ACADEMY 10919 ODILON RD. KAPLAN, LA. 70548
USA
OFFICE: (855) 875-9364 [email protected] WWW.USK9.COM
FAX: 866.841.4910
2
Please specify which Course Program and Program Date you are enrolling for. See Training Calendar below for 2017 Course Dates offered
Programs offered based on availability - Some dates may be full-Your school official will consult with you ____ Single Purpose Handler’s Program - $2,900.00 (4 Week Course). Certification for police dog detection in narcotics or explosives. Course Date:__________________________ ____ Dual Purpose Handler’s Program - $3,900.00 (5 Week Course). Certification for police dog detection in narcotics or explosives with patrol functions. Course Date:_________________________ ____ Professional Trainer’s Program - $8,900.00 (12 Week Course). Certification as a Professional Trainer in obedience/behavior, personal protection, police dog detection in narcotics/explosives/patrol functions. Course Date:______________________________
Canine Background Please describe below any personal/professional experience you have working with dogs
Future Plans/Expectations Please describe below what you plan to do with your training/certification
US K9 UNLIMITED DOG TRAINING ACADEMY 10919 ODILON RD. KAPLAN, LA. 70548
USA
OFFICE: (855) 875-9364 [email protected] WWW.USK9.COM
FAX: 866.841.4910
3
REQUIRED List any and all Schools/Classes for Higher Education you have previously attended Post High School (include trade schools, University, Colleges, etc.). If you have not enrolled or attended fill-in N/A ________________________________ _________________________________ Print Name Signature ________________________________ Date
US K9 UNLIMITED DOG TRAINING ACADEMY 10919 ODILON RD. KAPLAN, LA. 70548
USA
OFFICE: (855) 875-9364 [email protected] WWW.USK9.COM
FAX: 866.841.4910
4