LTC Handgun Proficiency Training

M.A.S.I. SCHOOL
TX DPS License to Carry Instructor Certificate #0603XXXX

134 Vintage Park Blvd; Suite A206; Houston, Texas 77070
Application Form

LTC Handgun Proficiency Training
I,First Name* Last Name* hereby apply for admission on this date Date*.
I respectfully request that the faculty evaluate my prior academic training and other qualifications to enter the program at the level that I indicate below:
LTC Handgun Proficiency Training Course - 6 Hours
APPLICANT'S PERSONAL INFORMATION
Name *

First Name Last Name
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number *
Please enter a valid phone number.
Social Security # *
In which state do you make your permanent residence? *
Driver's License Number *
State *
Do You Currently Have Any Security License *
Are you a U.S. Citizen?

Yes No
If not a U.S. Citizen, and you are taking LTC Handgun Proficiency Training, please provide Immigration Status
I understand this will cost me $blanks, which is non-refundable.
I understand that I am enrolling in the private security course - Texas - Firearm Proficiency Training Course(s) and that the cost of the course is (non-refundable). I further understand that I am taking the above course(s) free of coercion and in order to gain knowledge in the field of Texas Private Security. I understand that my taking this course does not bind or obligate security agencies to hire me in any form or represent that I will be hired with any agency in any form. I also understand that Commissioned security officers shall submit a firearms proficiency certificate along with the renewal application. Commissioned Security officers and/or Personal Protection officers shall complete six (6) hours of continuing education. This training course must be administered by a licensed Level III Training School and taught by a licensed Level III Instructor. The demonstration of firearm proficiency must be completed within 90 days of the renewal application date.
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Date *

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Date
M.A.S.I. School

134 Vintage Park Blvd Suite A206 Houston, TX 77070 Phone 713.259.5812 EMAIL: INFO@MASISCHOOL.COM
www.MASIschool.com

TX DPS License to Carry Instructor Certificate #0603XXXX
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M.A.S.I. SCHOOL

Application Form

APPLICANT'S PERSONAL INFORMATION

M.A.S.I. School