Online KPA DTP Program Application Form

Personal Information
Name*
First Middle Last
Phone*
Alternate Phone
Email*
Website
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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Workshop Selection
Select a Location*

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How did you hear about us?
How did you hear about the Dog Trainer Professional program? For example: at a conference, internet search, friend? (Please be specific if you can: for example, conference name, website name.):*
Did someone refer you?*
- Yes
- No
Whom may we thank?

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Dog Requirement
Do you have consistent access to the same dog that you can train approximately 10 to 20 hours per week?*
- Yes
- No
List any classes or workshops you have taken with this dog?*

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Work Experience
The Dog Trainer Professional program is for candidates who already have experience handling or working with dogs other than their own. Acceptable positions include, but are not limited to, shelter and animal rescue volunteers/staff, veterinary technicians, veterinary assistants, show handlers, canine day care providers, and professional dog trainers. You may list up to four positions.
Name of Organization*
Title/Role*
Responsibilities*
Time in this Position*
Would you like to list another organization?*
- Yes
- No
Name of Organization*
Title/Role*
Responsibilities*
Time in this Position*
Would you like to list another organization?*
- Yes
- No
Name of Organization*
Title/Role*
Responsibilities*
Time in this Position*
Would you like to list another organization?*
- Yes
- No
Name of Organization*
Title/Role*
Responsibilities*
Time in this Position*

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Education
What's the highest level of education completed?
Name of Institution*
Graduation Date*
Date Format: MM slash DD slash YYYY
Location*
Degree Granted*
Please explain
Other Programs
Program Name
Length of Program
Date Completed
Date Format: MM slash DD slash YYYY
Title Granted
Would you like to list another program?
- Yes
- No
Name of Program
Length of Program
Date Completed
Date Format: MM slash DD slash YYYY
Title Granted
Would you like to list another program?
- Yes
- No
Name of Program
Length of Program
Date Completed
Date Format: MM slash DD slash YYYY
Title Granted
Resume
Uploading your resume is optional.
File
Have you ever been convicted of a misdemeanor or felony?*
- No
- Yes
Please Explain

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Your Goals
Short Essay*
In 200 words or less please tell us what you hope to gain by attending the Dog Trainer Professional program?

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Professional References
You are required to provide two professional references below.
Reference #1
Name*
First Last
Relationship*
Phone*
Email*
Reference #2
Name*
First Last
Relationship*
Phone*
Email*

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Your Questions
Do you have any other comments, questions or concerns that we can address in your interview?
Tuition Financing
I intend to apply for tuition financing.
- Yes
- No
Acknowledgments
Check the boxes below to acknowledge the statements.*
- All the information in this application is accurate and true to the best of my knowledge.
- I have read and understood the tuition requirements and policies.
- I have read and agree to abide by all stated in the Student Handbook as long as I am enrolled in the Academy.
- I acknowledge that there are certain dangers, hazards and risks (foreseen and unforeseen) inherent in attending and participating in any program relating to animal behavior including, without limitation, risks relating to personal safety, use of equipment and/or facilities and risk of property damage. I hereby assume all dangers and risks in connection with my attendance and participation in Karen Pryor Academy and I understand and agree to release and hold harmless Karen Pryor Academy, Sunshine Books, Inc. and Karen Pryor Clickertraining and any of their current and former officers, directors, employees, attorneys, representatives and agents and waive any claim for injury and/or damage resulting from my attendance and participation in the Karen Pryor Academy.
Signature*
Date*
Date Format: MM slash DD slash YYYY
Email Preferences
I would like to receive news and updates from Karen Pryor Academy.
- Yes
- No
Where will you be attending workshop(s) for the Dog Trainer Professional program?*

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USA, Puerto Rico or other World Program location
Price: $50.00
Germany Application Fee
Price: $50.00
Total
$0.00
A $50.00 AUD application fee is required with your application. Paying your application fee online is fast, convenient, and secure. You may use a credit card, PayPal, or electronic bank withdrawal.

Application fees are not refundable. If you are accepted to the program, your entire application fee will be applied toward your tuition. If KPA declines your application, the entire application fee may be applied toward tuition for another KPA course if you enroll within 6 months.

Please contact [email protected] if you have any questions.
A $50.00 CAD application fee is required with your application. Paying your application fee online is fast, convenient, and secure. You may use a credit card, PayPal, or electronic bank withdrawal.

Application fees are not refundable. If you are accepted to the program, your entire application fee will be applied toward your tuition. If KPA declines your application, the entire application fee may be applied toward tuition for another KPA course if you enroll within 6 months.

Please contact [email protected] if you have any questions.
A £50.00 application fee is required with your application. Paying your application fee online is fast, convenient, and secure. You may use a credit card, PayPal, or electronic bank withdrawal.

Application fees are not refundable. If you are accepted to the program, your entire application fee will be applied toward your tuition. If KPA declines your application, the entire application fee may be applied toward tuition for another KPA course if you enroll within 6 months.

Please contact [email protected] if you have any questions.
Credit Card*

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Untitled
- First Choice
- Second Choice
- Third Choice

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Program Application

Step 1 of 11

Personal Information

Workshop Selection

How did you hear about us?

Clicker Training Experience/Courses

Dog Requirement

Work Experience

Education

Other Programs

Resume

Your Goals

Professional References

Reference #1

Reference #2

Your Questions

Acknowledgments