Affiliate Trainer Application Form

APPLICATION TO BECOME AN

AFFILIATE TRAINER

Contact Details

Full Name: ________________________________________________________________________

Company or Employer (if applicable): ________________________________________________

Address for Correspondence: _______________________________________________________

________________________________________________________Post Code: _______________

Tel. No: _________________________________Mobile No: __________________________

E-mail: ___________________________________________________________________________

AFFILIATE TRAINER

The Award of Affiliate Trainer is designed for experienced Instructors/ Trainers who are working or who have left either a public authority or the Armed Services and have received formal accredited training.

SECTOR

Police □Military □Prison Service □Customs □Other □ ________________________

EMPLOYMENT

Employing Authority: ______________________________________________________________

Employment Dates: From: _____/_____/_____To: _____/_____/_____

Reason for Leaving (if applicable): __________________________________________________

Rank or Position: __________________________________________________________________

QUALIFICATIONS

Details of Formal Training Received: _________________________________________________

__________________________________________________________________________________

Details of Experience: ______________________________________________________________

__________________________________________________________________________________

DECLARATION

I declare that the information contained in my CV which shall accompany this application is true and accurate.

I also confirm that I have read the NASDU Code of Practice for Instructors/Trainers of Security Dogs and agree to abide by its recommendations and guidance.

Signed: ___________________________________________Date: _____/_____/_____