1. All provisional members will be assigned a mentor. The provisional member will be responsible for reporting to their assigned mentor on a semi-annual basis. (This does not preclude more frequent communication if deemed necessary or desirable.)

2. The provisional member, in his/her semi-annual report, will provide the following information:
   • a record of how many hours were spent in the previous six months assisting or instructing group classes with a designation of type of class (puppy, obedience, agility, etc.)
   • a record of how many hours were spent providing private instruction or behavior consults in the previous six months. This must include the type of problem and resolution of same.
   • a record of any books, videos, seminars or other educational venues completed in the previous six months.
   • a short synopsis of what the provisional member has accomplished with his/her own dog in the previous six months, along with an abbreviated lesson plan for progressing to the next level.

3. The provisional member shall contact his/her mentor with any questions or concerns regarding the correct and appropriate use of any training technique or equipment. If the mentor is not able to satisfactorily answer those questions, the mentor will ensure that the Provisional Membership Chair is notified so that those questions or concerns can be addressed.

How many years:

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___________________________________
Web URL___________________________________
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:

3. List any books and/or video tapes that influenced your instructing, including approximate publication/production dates.

4. What dog or obedience related periodicals do you subscribe to or read regularly? Are you a member of any dog or obedience training e-mail list? If so, which one(s)?

5. Who (author, instructor, seminar presenter, video producer, etc.) most influenced your training philosophy? How?

6. What courses or seminars, including approximate dates, have you attended that influenced your instructing? Did these include any that specifically taught instructing skills?

7. If you are scheduled to attend any courses or seminars within the next 6 months, please list them.

8. 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

9. How are you gaining your instructing experience? If you assist or apprentice, for how long have you done so? Please provide the name(s) and contact information for the person(s) for whom you are apprenticing/assisting.

10. 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.

11. 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).

12. Please give the names of any NADOI members you know or have known in the past.

13. Have you ever applied to NADOI before? If so, when?

PART 3: 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, please list the most recent titles or certifications as well as the breeds of dogs.

PART 4: INSTRUCTING

15. Explain in detail how you instruct your students to teach the dog to down on command. Do you ever recommend an alternate method of teaching the "down"? If so, why?

16. Explain why you would handle a student's dog.

17. What type of collar and leash do you routinely recommend for 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.

IMPORTANT INSTRUCTIONS: If you teach group training classes, answer Part 5a. If you conduct private lessons, Part 5b. If you do both, please complete both sections.

PART 5a: GROUP CLASS

18. How long (hours per week) is each class? How many weeks comprise your basic course?

19. How many students do you normally have in a class?

20. If you have served as an assistant instructor:

a. Briefly describe what jobs you perform(ed) as an assistant.

b. How has serving as an assistant aided your development as an instructor?

21. What do you believe are the most common causes for student dropout?

22. Explain how you would handle the following situations if they were to occur in your basic class:

a. A young lady is enrolled in class with her large Newfoundland. The dog is very friendly and keeps dragging his owner across the floor to meet other dogs and people. The owner's efforts to control him are not effective and other students are showing concern over his unwanted attention.

b. A seven month old Shetland Sheepdog is very nervous the first night of class, trembling, hiding behind the owner when anyone approaches. The owner is offering food and verbal encouragement in an attempt to coax the dog into action, but there is no response. The owner comments that the dog has been like this ever since she got him from a local kennel a few weeks ago.

PART 5b: PRIVATE

23. Do you work as an assistant or do you do private calls yourself? If by yourself, what type cases do you handle? What type cases would you refer to another instructor?

24. Generally, how long (minutes/hours) does a private lesson last?

25. Do you work with your client at their home, your place of business (which could be your home or an office), or some other location (please specify)? What are the advantages and disadvantages of each location?

26. Explain in detail how you would handle the following situation:

a. A young couple has a year old Yorkie that urinates and defecates in the house. They refuse to try crate training the dog, and do not have a suitable place to leave her outside when they are gone, although they do have a fenced yard. They presently shut the dog in a bathroom while they are gone and at night. Both the man and the woman work during the day, but the wife is able to come home during her lunch hour. The dog is immediately taken outside, but doesn't always "go." She often slips into either the dining room or the spare bedroom to eliminate, even after being outside. Their main complaint is that the dog will not "ask" to be let out.
 

b. You have been called to a client's house to help with a dog who, by the owner's description, is boisterous and often times out of control. Seconds after the owner opens the door to greet you, the dog appears behind him snarling and trying to lunge past the owner.

PLEASE READ THE FOLLOWING CAREFULLY

I understand that this application will not be considered unless it is accompanied by the non-refundable $75.00 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_______________

IMPORTANT NOTICE

When completed, submit three (3) copies of: the completed form, your typed responses and all attachments along with your processing fee to your ZIP CODE Regional Administrator listed here.

DO NOT USE REGISTERED OR CERTIFIED MAIL.

Make check or money order payable to NADOI. Please do not send cash.