We are thrilled that you are interested in our DOGSAFE Authorized Instructor Program. Please complete our contact form below and we will be in contact with you shortly. 

PLEASE NOTE: In order to be familiar with the Dogsafe Canine First Aid courses, you must be a Dogsafe graduate yourself before applying to become a Dogsafe Authorized Instructor.

* Required fields
Name *
E-mail Address *
Daytime phone *
City *
Province/State *
Country *
Are you a Dogsafe graduate? *	Yes No
Name of Dogsafe course(s) and date you graduated? *
Name of Dogsafe Instructor *
Population of your city *
Do you currently own a dog-related business? *	Yes No
Company Name and Website
What initially excited you about our program? *
What's one thing you do now that demonstrates your committment to dog first aid/safety? *
You must have a minimum 1 year experience teaching (3 years preferred). Do you have teaching experience? If yes, please tell us briefly *
You must have a minimum of 1 year professional experience in canine behaviour (3 years preferred). Are you knowledgeable in canine behaviour? If yes, please tell us briefly *
You must have, at minimum, a valid human first aid certificate. Do you have further emergency response or first aid experience (canine or human)? If yes, please tell us briefly *
Please tell us a little bit about yourself, generally *
We are committed to canine safety and prevention of injuries. Do you use choke, prong or electronic collars? *	No Yes
How did you hear about DOGSAFE? *	Please choose one: Internet search Dogsafe logo on a website Media Referred by someone Dogsafe instructor I am a Dogsafe graduate Other
Comments or questions?

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