NESDCA Trainer / Training Facility 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 RequiredName of IndividualTitleEmployerTraining Facility Address Mailing Address CityState/ProvinceCountryZip/Postal CodeTelephoneFaxEmail AddressFEE: The annual membership fee for an Accredited Training Facility shall be equal to that of a regular NESDCA membership (currently $225 annually) and will be due at the time of accreditation. There may however be expenses associated with travel in the event travel is required by NESDCA to evaluate a facility to be a NESDCA Facility.Please indicate type(s) membership you currently hold:Regular MemberHandlerOther (Please indicate below)1. QUALIFICATIONS OF APPLICANTa. Provide some background of your general knowledge in Training dog teams.b. List schools, seminars, workshops, and lectures you've attended to obtain your training knowledge and continued education in the dog training field.c. Are you willing to abide by, support, and promote NESDCA, our By-Laws and mission of Entomology Scent Detection?YesNod. Please describe in detail the number of dogs you have trained and in what areas. ie: 5 Law Enforcement drug dogs, 2 Search & Rescue live find, 6 termite dogs, etc.2. REPRESENTATIONIndicate below the name of the business or company you would be representing and include written authorization from that entity authorizing you to be their representative:3. TRAINING FACILITYa. Provide a contact name and number at the training facility if different than above.b. Please provide information about your training facility to include the requirements located in the NESDCA By-Laws4. ADDITIONAL COMMENTSNOTE: You must provide NESDCA with a certificate of insurance for liability and workers compensation for a minimum of one (1) million (U.S. Dollars) coverage of each.Abide - If granted NESDCA Trainer and / or Training Facility 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 NAMEToday's Date