Academy Application Stoney Run Canine Camp Academy Application "*" indicates required fields Spring Session Fall SessionName* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and 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DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Would you like to request housing? If yes, more information will follow.* Yes No Program InformationWhat course are you applying for? Advanced Certified Dog Trainer Program (21 week) $6,500 - introductory offer Advanced Certified Dog Trainer Program (21 week) $10,000 (2025 fees) *** 50% must be paid to hold your spot*** *** all fees must be paid by 30 days prior to start*** When session do you prefer? Session I Session II Refund PolicyYou will receive a full refund (minus 3% cc fees) up to 2 weeks prior to the start of the 21 weeks session. If you leave during Weeks 1-3 you will receive a 50% refund minus 3% credit card fee. If you are here for more than 3 weeks you will not receive any refund. After the start of the session you have taken the spot of another potential student. ExperienceDo you have any previous dog training experience?* Yes No Dog handling and wrangling experience. (check all that apply)* Competed in dog sports (obedience, rally, conformation, agility, flyball, tracking) Assisted, apprenticed or volunteered with a dog trainer Worked professionally in a related field (check all that apply)* Walker, groomer, day care, boarding, veterinarian, vet-tech, Worked in a shelter directly with dogs Volunteered in a shelter and worked directly with dogs Own a kennel Other None Other Please explain kennel dogs Dog boarding/grooming facility Breed dogs How many dogs live with you?*Tell us about your dogs, past and present.*What breeds or mixes have you had or currently have? How did you come by your interest in behavior and training? Did your dogs play a role? Please give details of any training or behavior modification you have done with your own dogs.*Study to date. Please list relevant courses and seminars you have taken and books you have read in detail and that have influenced your approach to training, to dogs, or to teaching people.* What are your goals as an SRCC Academy student and future trainer?*Do you have any experience doing what you think a future of a dog trainers would be*Your approach and philosophies*List trainers you follow & why*The SRCC Academy program is considerably more difficult than other dog training programs, with a broader and more detailed scope, and has practica and assignments that must be done in specific ways, which means technique skills may need to be re-done (possibly on another dog) and assignments sent back for revision. We monitor our outcomes and curate the program content meticulously to ensure diligent students whom we have accepted will be successful, but part of having a defensible standard is that not everybody passes. How do you imagine you might respond to these various challenges, should they arise in your case?*Short Essay (400-600 words.) Describe a time when you changed your opinion about something. What happened to cause you to think differently? Did it come about gradually over time? Did someone's influence lead you to change your mind? Did your own growth and life experience bring it about? Or was it a combination of different things? And has seeing something in a different light, and changing your opinion, changed you? Your essay can be on any subject, not just dogs.Essay*EducationHave you previously attended a dog training school or any dog training seminars?* Yes No Dog training school OR Dog training seminars List What is the highest level of education you have completed?* High School or equivalent Bachelor’s Masters Additional InformationHow do you plan to fund your education?* Check Credit Card Personal Loan What is your current occupation?* Do you have any special needs or require additional accommodations?* Yes No Additional accommodations Background CheckPrior to acceptance, all students must complete a background check. Once your application is submitted, additional instructions will be sent to authorize the background & drug check. The below information is required to get the process started.Driver’s License Number* Issuing State* SSN* Experience in working with peopleDo you like working with people? Tell us more. What do you most enjoy? What do you find challenging and how do you deal with those challenges?*Dog - The SRCC Academy will have many dogs available for you to work. You will be expected to work many breeds, sizes and temperamants.Will you be bringing a dog with you as well? Yes No Breed Weight Name Age Proof of Vaccination - all dogs must be up to date on Rabies and Distemper and all vaccinations must be completed two weeks prior to entering the property. We must have paperwork onsite more than two weeks prior to the start of your program.Veterinarian* Explanation of prior training done with said dog*Intact* Yes No All dogs will be on Martingale or flat buckle collar and 6 foot leash and or a harness while on property and will always need to be leashed. Application feeAn non-refundable application fee of $75 will be collected with your application. When we are in receipt, we will call to get a credit card payment and let you know we have your application.How did you hear about the SRCC Academy For Dog Trainers? As part of the certification with Stoney Run Canine Camp Academy you will be required to pass an outside testing agency’s test. We will be registering you with The Certification Council for Professional Dog Trainers (CCPDTTM) - the following is from their handbook. Position Statements:The CCPDT adheres to a LIMA (Least Intrusive Minimally Aversive) standard - incorporating the Humane Hierarchy - in canine behavior training. Please review our LIMA policy statement, found in this handbook. We also support the Punishment Position Statement of the American Veterinary Society of Animal Behavior (AVSAB) which can be found on their website at www.avsab.org.CertificationThe Certification Council for Professional Dog Trainers (CCPDTTM) endorses the concept of periodic certification by examination for all dog training and behavior professionals. Certification focuses specifically on the individual and is an indication of relevant current knowledge in a specialized area of practice. Certification for dog training and behavior professionals is highly valued and provides formal recognition of basic knowledge. The CCPDT reserves the right to change any of the requirements concerning its Certified Professional Dog Trainer - Knowledge AssessedTM (CPDT-KATM) credential, including, but not limited to, the eligibility requirements, examination content, recertification requirements, fees, use of the mark, name of the mark, and the website. Information published in the current version of the CPDT-KA Handbook for Candidates on the CCPDT website supersedes all other printed or electronic versions of this Handbook. Neither the Handbook for candidates, the examination application form, the examination, nor the CCPDT credential constitutes a contract between the candidate or the certificant and the CCPDT. Purposes of CPDT-KA CertificationTo promote delivery of safe and effective dog training through the certification of qualified professional dog trainers by: recognizing formally those individuals who meet the eligibility requirements of the CCPDT and pass the Examination for Certified Professional Dog Trainers - Knowledge Assessed; encouraging continued professional growth in the practice of professional dog training; establishing and measuring the level of knowledge and skills required for certification in professional dog training; providing a standard of knowledge and skill requisite for certification; thereby assisting the employer, public, and members of the professional dog care industry in the assessment of the professional dog trainer. I acknowledge that I have read and understood the SRCC Academy's Terms of Use, including the protection of all Academy materials by U.S. and international copyright, trademark, and other intellectual property laws. Unauthorized copying, reproduction, republishing, uploading, downloading, posting, transmitting or duplication of materials, in whole or in part, is prohibited. I also understand that, if accepted, and once course materials have shipped, The Academy does not issue full or partial tuition refunds under any circumstances. I understand that I will be required to pass the Examination for Certified Professional Dog Trainers - Knowledge Assessed and will make myself available during the testing periods. Student AgreementI undersigned applicant to a program of study at Stoney Run Canine Camp Academy (School) consent to having Stoney Run Canine Camp Academy conduct a thorough background check of my criminal history. I will abide by all rules and regulations of Stoney Run Canine Camp Academy as communicated to me both in writing and verbally. I understand that Stoney Run Canine Camp Academy, its owners, agents and assigns will not be held liable for any injuries sustained by the students themselves, class members, dogs or visitors. This includes any dog bites or other dog-related or training related injuries. The service provided by Stoney Run Canine Camp Academy consists of a course of training with canines and equipment specific to training of canines in the Stoney Run Canine Camp Academy System, and no employment is offered or guaranteed. I understand that due to the nature of the services offered by Stoney Run Canine Camp Academy Inc. that any false statements made on this application discovered after enrollment shall result in the termination of my program of study with no refund of monies paid. I further consent to follow the student code of conduct as established solely by Stoney Run Canine Camp Academy Inc. during my course of study, and any breach of that code of conduct, as solely determined by Stoney Run Canine Camp Academy Inc. shall result in the termination of my program of study with no refund of monies paid. The code of conduct is the following: “Stoney Run Canine Camp Academy will provide a comfortable learning environment, and to wit, Stoney Run Canine Camp Academy reserves the right to terminate enrollment of the student for the following: excessive absenteeism, habitual tardiness, poor attitude, rough handling of the dogs, illegal drug use, alcohol use at school, underage alcohol use, insubordinate behavior to the instructors or staff, failure to follow dormitory rules, malicious behavior, unauthorized removal of school property.” I HEREBY CERTIFY THAT THERE ARE NO WILLFUL MISREPRESENTATIONS, OMISSIONS, OR FALSIFICATIONS IN THE FOREGOING STATEMENTS AND ANSWERS TO QUESTIONS. I AM FULLY AWARE THAT ANY SUCH WILLFUL MISREPRESENTATIONS, OMISSIONS, OR FALSIFICATIONS MAY BE GROUNDS FOR IMMEDIATE REJECTION OR TERMINATION OF COURSE OF STUDY. Signature*Print name* Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920PhoneThis field is for validation purposes and should be left unchanged.