RKS9 Academy Questionnaire

ENROLLMENT APPLICATION

from Ridgeside K9 Academy Dog Trainer Questionnaire
Thank you for reaching out in reference to our training academy. Our academy is a true immersion environment in which you will be directly involved with dogs and trainers daily, working with many different dogs every day. While academics are important, our academy is a truly hands-on, immersion environment. For three months, you will learn every facet of working with house pets and take them from no training at all to a full turnover with clients. This is a full-time course that will require you to be present Monday-Friday.

We can’t wait to work with you as you further your education as a dog training professional. To apply for enrollment, complete and submit the form below.
- Full Name of Applicant*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Email*
  example@example.com
- Mobile Number*
  Please enter a valid phone number.Format: (000) 000-0000.
- Date of Birth
  
  MonthDayYear
  Date
- Gender
- Tell us a little about yourself.*
- How did you hear about our training academy?*
- How many and what kind of dogs do you own?*
- Why do you want to train dogs?*
- What is your prior experience training dogs (personal and professional)?*
  If yes, please list
- Do you have any prior military or law enforcement background?*
- YesNo
- YesNo
- What are your long term goals in the dog business?*
- Are you anxious, afraid, or uncomfortable around dogs?*
- Do you have any barriers to learning that you'd like to let us know about? *
- YesNo
- Full Legal Name*
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Date of Birth*
  
  MonthDayYear
- Social Security Number*
- I hereby authorize Ridgeside K9 (RSK9) and its designated agents and representatives to conduct a comprehensive review of my background causing an investigative consumer report to be generated for application purposes.
  
  I understand that the scope of the consumer report/investigative consumer report may include, but is not limited to, the following areas:
  
  Verification of social security number; current and previous residences; employment history including all personnel files; education including transcripts; character references; criminal history records from any criminal justice agency in any or all federal, state, or county jurisdictions; birth records; motor vehicle records to include traffic citations and registration; and any other public records or to conduct interviews with third parties relative to my character, employment history, and/or general reputation.
  
  I further authorize any individual, company, firm, corporation, or public agency (including the Social Security Administration and law enforcement agencies) to divulge any and all information, verbal or written, pertaining to me to RSK9 or its agents. I further authorize the complete release of any records or data pertaining to me that the individual, company, firm, corporation, or public agency may have, including information or data received from other sources.
  
  I hereby release RSK9, the Social Security Administration, and its agents, officials, representatives, or assigned agencies, including officers, employees, or related personnel both individually and collectively, from any and all liability for damages of whatever kind, which may, at any time, result to me, my heirs, family, or associates because of compliance with this authorization and request to release.
  
  By signing below, I acknowledge that I have read and understood the above and that the information provided is accurate to the best of my knowledge.
- Date
  
  MonthDayYear
- Signature
  
  Clear
- Should be Empty:

ENROLLMENT APPLICATION