Student Application: Hands-On Workshop – Part 1 Student Application: Hands-On Workshop Please complete Part 1 of 3 below.Part 1: Basic Information1. First Name:* 2. Last Name:* 3. Gender:*Choose OneMaleFemaleNon-BinaryPrefer not to say4. How Would You Like Your Name to Appear on Your Graduation Certificate:* 5. Are you:18 years of age or older?*Choose OneYesNoA high school graduate or equivalent ?*Choose OneYesNoProficient at speaking, reading and writing in English ?*Choose OneYesNo6. Phone 1:* 7. Phone 2: 8. Email Address 1:* 9. Email Address 2: 10. Mailing Address:* Street Address (Include Apt. #): City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Check here if you have an address outside of the USA and we will contact you to get your address information separately. 11. Is the address above the same address you would like your Study Materials shipped to?*Choose OneYesNoAddress You Would Your Study Materials Shipped To: Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 12. Check any experience you have with dogs: Dog Owner Dog Walker Dog Sitter Dog Trainer Dog Groomer Foster Home Volunteer Veterinary Technician Shelter or Rescue Volunteer Dog Day Care Staff or Management 13. What type of training methods are you seeking to focus on? Check all that apply: Modern, Science-Based Dog-Friendly Dominance-Based Positive Reinforcement Choke and Pinch Collar Pop Techniques Assertive Training such as Traditional Military Techniques By pressing the Submit button below, I verify that the name on this application above is me, and I am the person who is completing all parts of this application.View our privacy policy link below for information on how we protect your data.* I consent to my submitted data being collected and stored View our privacy policy link below for information on how we protect your data.