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Affiliate Trainer Application Form
APPLICATION TO BECOME AN
AFFILIATE TRAINER
Contact Details
Full Name: ________________________________________________________________________
Company or Employer (if applicable): ________________________________________________
Address for Correspondence: _______________________________________________________
________________________________________________________Post Code: _______________
Tel. No: _________________________________Mobile No: __________________________
E-mail: ___________________________________________________________________________
AFFILIATE TRAINER
The Award of Affiliate Trainer is designed for experienced Instructors/ Trainers who are working or who have left either a public authority or the Armed Services and have received formal accredited training.
SECTOR
Police □Military □Prison Service □Customs □Other □ ________________________
EMPLOYMENT
Employing Authority: ______________________________________________________________
Employment Dates: From: _____/_____/_____To: _____/_____/_____
Reason for Leaving (if applicable): __________________________________________________
Rank or Position: __________________________________________________________________
QUALIFICATIONS
Details of Formal Training Received: _________________________________________________
__________________________________________________________________________________
Details of Experience: ______________________________________________________________
__________________________________________________________________________________
DECLARATION
I declare that the information contained in my CV which shall accompany this application is true and accurate.
I also confirm that I have read the NASDU Code of Practice for Instructors/Trainers of Security Dogs and agree to abide by its recommendations and guidance.
Signed: ___________________________________________Date: _____/_____/_____