FFTW Application Form (v1)

Please read the following before proceeding:

There is a $10.00 non-refundable application fee.
This fee must be paid at the time of application via credit card. This fee is valid for 30 days and will be applied to your membership fee if you are approved to be added to the group. The Force Free Trainers of Wisconsin (FFTW) reserves the right to deny or remove membership at any time.
Personal Information
Full Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
FFTW Application
How did you hear about the FFTW?
Please explain why you are interested in joining the FFTW.
Please explain what you foresee contributing to the FFTW.
Professional Experience and Training History
What is the name of your business?
Please upload a complete list of all your employees and/or independent contractors that work for your business. File must be provided in Microsoft Word, Microsoft Excel or PDF format.

Upload a File

Cancelof
Please upload your business logo. (JPEG or PNG file format, please)

Upload a File

Cancelof
Who do you work for?
What is your job title?
What locations do you serve?
How long have you been providing your services in a professional capacity?
Please provide the website addresses for the company, or companies, you listed above.
Please provide the Facebook addresses for the company, or companies, you listed above.
Please list your professional certifications and credentials (CPDT-KA, DVM, CDBC, etc.),
Please list the professional/trade organizations you hold membership with (APDT, PPG, Doggone Safe).
List any continuing education you have completed in the past 24 months.
Please explain what techniques or tools you would use - or are using - with your own animals that you would not recommend to a client of yours? (martingale collars, shock collars for training or containment, etc.).
What is your position on the use of shock collars for use in training (including the use for containment purposes, i.e. invisible fencing)?
What species do you work with?

Other
What type of service do you offer? (Select all that apply)
What type of training do you offer? (Select all that apply)
Anything else you would like to share? (Community involvement, hobbies, activities you compete with your own animals in, special interests, etc.)
Client References
Please list 2 client references from group classes or private instruction you have conducted in the past 6 months.
Client Reference #1
Client Reference #1 Name:
Client Reference #1 Phone Number:
Client Reference #1 Email Address:
Client Reference #2
Client Reference #2 Name:
Client Reference #2 Phone Number:
Client Reference #2 Email Address:
Professional Reference
Please list 1 professional reference. This can be a training colleague or a veterinarian.
Professional Reference Name:
Professional Reference Phone Number:
Professional Reference Email Address:
What company do they work for?
Case Study Brief
Please share a case study you've worked on in the past 3 months with a client that shows the following competencies: 1. ) Identify the motivation for undesirable behavior/s (as identified by you and/or the client), 2.) Create a management and training plan appropriate for the learner, and 3.) Establish realistic goals and outcomes for the behavior/s. Upload a PDF file with approximately 500 words, total (~3-5 paragraphs)

Browse Files

Cancelof
Agreement to FFTW Mission, Principles and Ethics
Please review the FFTW Mission Statement, Guiding Principles and Professional Ethics by clicking here.
I have read and agree to adhere to the FFTW Mission Statement
I have read and agree to adhere to the FFTW Guiding Principles.
I have read and agree to adhere to the FFTW Professional Ethics.
I have read and agree to adhere to the Humane Hierarchy, as outlined by Susan Friedman, and as published as part of the FFTW Member Professional Ethics.
I have read and agree to adhere to The Five Freedoms of The Farm Animal Welfare Council, as published as part of the FFTW Member Professional Ethics.
Application Fee
prevnext( X )
FFTW Application Fee (non-refundable)$10.00
Should be Empty:

Personal Information

FFTW Application

Professional Experience and Training History

Client References

Please list 2 client references from group classes or private instruction you have conducted in the past 6 months.

Client Reference #1

Client Reference #2

Professional Reference

Please list 1 professional reference. This can be a training colleague or a veterinarian.

Case Study Brief

Agreement to FFTW Mission, Principles and Ethics

Application Fee*

Application Fee