Basic Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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What is your primary area of instruction? (Select all that apply)
Defensive Handgun
Tactical Rifle
CQB
Combatives / Grappling
Medical / Trauma
Other
How many years have you been training in your primary discipline?
How many years have you been teaching professionally?
What certifications or credentials do
Do you have prior military or law enforcement experience?you currently hold? (Firearms, combatives, medical, etc.)
Yes
No
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Operational Capability
Do you currently have access to a range?
Yes
No
Do you currently have access to a training facility / gym?
Yes
No
What is your average class size?
How many courses do you run per month?
Do you have liability insurance?
Yes
No
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Business & Audience
Do you currently operate under a business name? If so, what is it?
Do you have an existing student base? (Approximate size)
Social media / online presence:
Instagram:
YouTube:
Website:
Are you currently affiliated with any other training organizations? If so please explain.
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