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CAUTION !
This
HTML version is provided for viewing convenience only. DO NOT
SUBMIT from this version. Download the Word document or
PDF file from the
APPLICATIONS
page, or request a hard copy by snail mail from our
Corresponding Secretary.
How many years:
You’ve
trained dogs _____.
You’ve
taught, as the full charge instructor,
group ____ ; private _____.
Approximately how many dogs go through your training courses per year _____.
GENERAL INSTRUCTIONS
Please submit three (3) copies of the completed
form; your typed answers for each question; your video
tape response to Section 5, question 21; and all other
attachments. ALL QUESTIONS MUST BE COMPLETED IN FULL. In
answering the questions, keep in mind that NADOI wants to know
your qualifications as an INSTRUCTOR. Be specific in
describing what you tell your students to do to train their
dogs. NADOI examiners are looking for step-by-step
methodology rather than general descriptions. Answer the
questions in your own words.
Any response of “not applicable” should be
explained as to why it is “non-applicable”.
Attach an extra sheet for questions requiring
more space, making sure the question number is shown with each
answer. Print your name the top of each page and number the
pages consecutively. Unless specifically stated in the directions,
copies of handouts or homework sheets will not be accepted as
the complete answer for any of the questions. However, if you
have handouts for students on a given subject, you may submit
them as supporting information IN ADDITION to your responses,
not in place of your responses. The author of all handouts
must be listed on the handout.
This questionnaire is geared toward the
practical application of your knowledge. If you teach strictly
competition obedience, you will need to approach your answers
from the standpoint of either how you would apply competition
obedience to real-life situations, or how you would handle the
situation as asked.
PERSONAL INFORMATION
Name_________________________________________
Home
Phone________________________ Age_______
Address_______________________________________
City/St/Zip______________________________
E-mail__________________________________
Occupation
___________________________
Dog
Business Name______________________________
Business
phone_________________
Hobbies/Other Interests__________________________
PART 1: BACKGROUND INFORMATION
1. List the dogs you have personally trained, giving breed,
level of training reached, and any titles earned, showing approximate
dates of the highest titles earned.
2. Check any of the following types of dog training in which
you are or have been active:
| ___pet
manners/CGC |
___drug/bomb/other detection |
| ___competition
obedience |
___tracking |
| ___therapy/pet
assist activities/service |
___agility/flyball |
| ___herding |
___field/hunting |
| ___protection/K-9/Schutzhund |
|
___conformation/breeding/exhibiting______________________ |
|
___other (please list)__________________________________ |
3. List any books and/or videotapes that influenced your instructing,
including approximate publication/production dates. Also list
any periodicals or discussion forums that influenced your instructing.
4. What courses or seminars, including approximate dates,
have you attended that influenced your instructing? Did these
include any that specifically taught instructing skills?
5. What, if any, previous experience did you have teaching
or working with people before you began teaching people how
to train their dogs?
PART 2: REFERENCE INFORMATION
6. How did you gain your instructing experience? If you assisted
or apprenticed, for how long did you do so? If available, please
provide the name(s) and contact information for the person(s)
or organization for which you assisted/apprenticed.
7. Please give names and contact information, including telephone
number(s) and/or e-mail address(es), of any individuals or
organizations for which you taught dog obedience in the last
ten years.
8. List any training schools, breed or obedience clubs, performance
event clubs, or professional organizations to which you now
belong or were involved in the past.
9. Please provide three names along with phone numbers and/or
e-mail addresses that we may contact as references (i.e., veterinarian,
pet professionals, dog club officers or past customers).
10. Please give the names of any NADOI members you know or
have known in the past.
11. Have you ever applied to NADOI before? If so, when?
PART 3: GENERAL
12. What is your training philosophy and who/what (authors,
instructors, seminar presenters, videos, mentors, etc.) were
the most important influences in developing your philosophy?
13. List any dog care (grooming, health care) instructions
you provide. If you use handouts to provide this information,
you may attach them as your answer to this question.
PART 4: STUDENT INFORMATION
14.
Have any of your students earned certification with any titling
organization (AKC— include CGC, UKC, AMBOR, Therapy/Service
Dogs, dog sports, etc.) on their dogs? If yes, list the most
recent titles or certifications as well as the breeds of dogs.
15. What background information, if any, do you get from your
students? If you use a form, you may attach it as your answer
to this question. Give an example of how you would follow up
on any of this information.
16. Please list three examples illustrating why you would
refer a client to another trainer/school, veterinarian/health
practitioner, or other dog professional.
17. Do you have a minimum age requirement for handlers in
your classes and/or private lessons? If you do teach children,
do you alter your curriculum/ teaching techniques to accommodate
them? Please explain any alterations.
18. Do you allow more than one family member to handle the
same dog in your classes and/or private lessons? Please explain
your reasoning. If applicable, how are multiple handlers incorporated
into the class or private environment?
PART 5: INSTRUCTING
19. What type of collar and leash do you routinely recommend
for your typical beginner students? List other types of collars,
leashes, and other training aids you recommend, putting those
most used at the top of the list.
20. Describe briefly or in outline form the complete step-by-step
teaching progressions you would give your students for each
of the following exercises. Start with introduction of the
exercise and include all progressions to a final response to
cue/command. (Even if your basic or beginning courses do not
complete all the steps of the progressions, be sure you include
the complete teaching progressions in your answer to this question).
- a) Sit on command
- b) Down on command
- c) Stay
- d) Stay during petting, examining, or other handling by a
stranger
21. Submit
3
copies of a video tape
to demonstrate how you instruct your students to teach Walk on a
Loose Leash. Click here ->
for Video Tape Guidelines.
22. If you use alternative methods or equipment, explain how
you use a typical alternative method and/or type of equipment
to teach Walk on Leash. What are the reasons for using this
alternative?
23. Describe in detail your instructions for teaching Come
When Called. Start at the beginning and explain the progressions
through to the final step of a reliable response to cue/command.
Include what you tell the owner to do if the dog does not respond.
24. Explain why you would handle a student's dog.
PART 6: BEHAVIOR
25. Provide instructions you would give your students to address
the following behaviors:
- a) Persistent jumping up on adults; jumping on toddlers.
- b) Stealing food off counters/tables.
- c) Will not allow itself to be removed from the furniture.
- d) Continuous digging in the back yard.
- e) Puppy constantly biting at hands when physically restrained
or petted.
- f) Adult dog that persistently soils its crate.
IMPORTANT
INSTRUCTIONS:
If you teach group training classes,
answer Part 7a.
PART 7a: GROUP CLASS
(click here)
If you conduct private lessons, Part 7b.
PART 7b: PRIVATE
(click here)
If you do both, please complete both sections.
PLEASE READ THE FOLLOWING CAREFULLY
I understand that this application will not be considered unless
it is accompanied by the non-refundable $20.00 processing
fee.
I hereby certify that I have answered all of the above truthfully.
I understand that any misrepresentation or material omission
will constitute grounds for rejection of this application.
If any misrepresentation or material omission is discovered
after my acceptance, the matter may be referred to the Ethics
Committee for immediate action, which action may include suspension
or revocation of membership, or other disciplinary action the
Ethics Committee may deem appropriate.
Signature_________________________________________
Date___________________
[ ] NADOI is a network of instructors based on the concept
of sharing and free exchange of ideas. Your permission to reprint
information submitted in your application, for use ONLY by
the NADOI Education and Training Committee, may be indicated
by checking the box at the beginning of this paragraph. If
any information is reprinted, appropriate credit will be given.
This permission pertains to training responses only and does
not include personal information.
IMPORTANT NOTICE
When completed, submit three (3) copies of: the completed
form, your typed responses, all attachments, and video tapes along with your
processing fee to your ZIP CODE Regional Administrator listed
below.
DO NOT USE REGISTERED OR CERTIFIED MAIL.
Make check or money order payable to NADOI. Please do not
send cash.
00001-19999
NADOI Regional Admin.
Fran Tardif
124 Gray Corner Rd.
Woolwich, ME 04579
20000-54999 & Foreign
NADOI Regional Admin.
Gendy McMillen
37 Carballo Ln
HSV, AR 71909
55000-99999
NADOI Regional Admin.
Marlene Stachowiak
321 Fury's Ferry Rd.
Martinez, GA 30907
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