First Name:

    Last Name:

    Street Address:

    Apartment/Unit #:

    City:

    State/Province:

    Zip/Postal code:

    Country:

    Phone Number (include country code if non-US):

    Email:

    Gender:

    Date of Birth:

    Highest level of education received:

    Have you attended or completed any other dog training courses or programs? YesNo

    Please list other courses or programs you have attended:

    What prompted your decision to apply to the Dog Trainer Course?

    Will a career in dog training be your first career or are you currently working in another field?

    Please tell us about your goals for completing the course?

    How did you hear about the course?

    Do you have any barriers to learning that you'd like to let us know about?

    Promo Code?

    I am also applying for the DTC In-Person Track (IPT) as well:YesNo

    1st choice IPT start date:

    2nd choice IPT start date:

    I intend to apply for tuition financing:YesNo

    I intend to apply for VSA's Animal Welfare Advocate Scholarship:YesNo

    I understand that followup application-related correspondence may end up in my spam or 'promotion' email folders and will check those regularly during the application process.