American Temperament Test Society, Inc

PO Box 591279 ● Houston, TX 77259 ● (832) 982-2887

APPRENTICE TESTER APPLICATION

PLEASE TYPE OR PRINT CLEARLY

Name:___________________________________________________________________________

Street:___________________________________________________________________________

City:_______________________________________ State: _______________ Zip: ____________

Email:____________________________________ Cell Phone Number: (____) ________________

Vocation: ________________________ Active # of years in the sport _____ (must be active for 5 years or more)

Dog training experience: ______________________________________________________________

Working Degrees/Conformation Titles earned with dogs: _______________________________________

Other dog sport activities: _____________________________________________________________

Please list two references that can speak to your interaction/care/knowledge of dogs:

Name _______________________________ Name _______________________________

Email _______________________________ Email _______________________________

Phone _______________________________ Phone _______________________________

Application Fee $25.00 $__________Check enclosed

I am at least 21 years of age. I fully understand that the AMERICAN TEMPERAMENT TEST SOCIETY, INC. will not be held liable by me or anyone else in any way in connection with my offering assistance, voluntarily and independently, to any activities of ATTS, including preparations and travel to and from any ATTS activity or Temperament Test, whether or not the event is actually held.

__________________________________ ____________________

Signature Date

A SOUND MIND IN A SOUND BODY