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2009 Training Application

The document is a training application for the U.S. Training Center, requiring personal information, course details, and payment methods. Applicants must submit credentials proving citizenship and legal status, along with specific documentation based on their training type. It also outlines cancellation policies and lodging options for the North Carolina site.

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2 views

2009 Training Application

The document is a training application for the U.S. Training Center, requiring personal information, course details, and payment methods. Applicants must submit credentials proving citizenship and legal status, along with specific documentation based on their training type. It also outlines cancellation policies and lodging options for the North Carolina site.

Uploaded by

g65164604
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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2009 Training Application

Student Information
Legal Name: Last First Middle Initial
LEA Agency/Military Unit (if applicable) Rank
Mailing Address:
City: State: Zip Code:
Home Phone: Work Phone: Fax:
E-Mail: Country of Birth:
Country of Citizenship (List All):
Emergency Contact Person: Phone:
Training Requested
Primary Course Date Tuition Location
Additional Course Date Tuition Location
Payment Method
Check Enclosed (payable to U.S. Training Center, Inc.) Check Number
Purchase Order P.O. Number Agency
Credit Card VISA (circle one) MASTERCARD
Account Number Expiration Date
Signature of Cardholder Name on Card
Billing Address
City State Zip Code

Referral Name_______________________________ Referral


Number_________________________________

-TUITION MUST BE PAID IN FULL WITH REGISTRATION-

By signing, I understand, represent and agree that:


1. I am a citizen of the country(ies) listed above.
2. My enclosed credentials meet the requirements outlined by U.S. Training Center (USTRACEN), including proof of
citizenship and legal status in the United States, and that at arrival at USTRACEN I will positively identify myself as the
same person certified in the application.
3. Range operations depend on careful control of deadly weapons by each student, and if any time during the course my
cooperation is not deemed satisfactory to USTRACEN staff, my participation will be terminated.
4. I will abide by any and all safety procedures required by USTRACEN, and I agree upon my arrival, to complete, sign
and understand a “Release and Indemnification Agreement” releasing USTRACEN from liability for any injury I may
sustain or cause during my training.
5. I will be at least 18 years of age at the time of training and of good moral character with no felony record.
6. My only purpose for seeking the training, which I have requested USTRACEN to provide me, is so that I may better be
prepared to provide lawful service to my employer or in performing lawful acts for my own use.
7. I consent to having USTRACEN verify my identity and background as required under U.S. export controls, including
the International Traffic in Arms Regulations (ITAR) and other applicable regulations.
STUDENT SIGNATURE:

Sales/Training Contact Information


U.S. Training Center, P.O. Box 1029, Moyock, North Carolina 27958
Phone: Mid-Atlantic: 252-435-2035 Midwest: 252-435-0223 Southwest: 252-435-0223
Fax: 252-435-0043
www.ustraining.com
Credential Policy
U.S. Training Center requires applicants for training to submit documentation of responsibility before they are accepted
as students. Each prospective student must submit the credentials applicable to the course of instruction desired and
include with it a fully complete application form.

For all courses:


Copy of their current driver’s license.
Proof of citizenship and place of birth based in the form of the following documents:
(1) a copy of their unexpired passport (including Visa page(s)), birth certificate, U.S. Citizenship ID card, or
U.S. Legal Permanent Resident ID card (”green card”) AND
(2) a copy of government-issued photo ID (driver’s license, military photo ID, government ID card).
Applications missing these documents will be returned.

For all firearms courses:


Military:
Copy of current Active Duty Military ID card.

Law Enforcement:
Copy of current agency ID card.

Civilian:
Evidence of no felony criminal history from a law enforcement agency on their letterhead or photocopy of current
Concealed Weapons Permit AND
Letter of good character from your employer or other community leader. Former military personnel may provide
a copy of their DD214 as an alternative. Some courses will require a copy of the applicable Federal Firearms license.

For Advanced firearms courses, HRSO, Adv EP:


Certificate from prior training or qualification (as required by course description)

For High Risk Security Operations:


Copy of driving Record (L.E. exempt)
Evidence of no felony criminal history from a law enforcement agency (all students)

Lodging (North Carolina site only)


Do you desire bunkhouse reservations (breakfast included)?
( ) Bunk @ $40 per night ($45.10 with tax)
( ) Semi-Private @ $55 per night ($62.01 with tax)
( ) Private @ $75 per night ($84.56 with tax)
Arrival Date: Departure Date:
Additional Support
Will you be renting a weapon or weapons from us? Will you need any of the following?
Pistol Shotgun Carbine Holster:
If renting, what type pistol or shotgun? Right-handed
(Glock, SIG, Beretta) (Rem 870 or Mossberg 590) Left-handed

Will you be purchasing ammunition from us? Magazines:


Caliber Number of Rounds Type Qty
Caliber Number of Rounds Type Qty

NOTE: Should you need more ammunition than indicated Magazine Holders:
above, the additional ammunition must be purchased from our Type Qty
Pro Shop, with payment at the time of purchase. Type Qty

Cancellation Policy
▪ If cancellation is made 30 days or more prior to a scheduled course, a full refund of money paid will be made .
▪ If cancellation is made less than 30 days prior to a scheduled course, U.S. Training Center will charge a $50.00
cancellation fee.
▪ No refunds for no-shows or drop from training. If rescheduling is necessary, please contact our Sales
Department.
871715391.doc

Sales/Training Contact Information


U.S. Training Center, P.O. Box 1029, Moyock, North Carolina 27958
Phone: Mid-Atlantic: 252-435-2035 Midwest: 252-435-0223 Southwest: 252-435-0223
Fax: 252-435-0043
www.ustraining.com

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