EmailMe Form - Candidate Application Form

Candidate

Name

Before you start this application make sure you have read through all of the application criteria on the PDF Guide. That way you will be prepared with all the necessary information this online form will ask for. You can save and resume this form. The "save and resume" button is at the bottom

Email

Membership Number

please type in your PPG membership number. You can find this on your membership profile when you login to the PPG website

Membership Term

Please type in the number of months you have been a PPG member

Membership Type

Membership Type

Candidate Background

Highest level of education

Degrees/certifications outside the pet care industry

Employment outside the pet care industry

Name of business and length of time served

Volunteer service outside the pet care industry

Name of business and length of time served

Pet Industry Experience

Years of service to the pet care industry (training, behavior consultation or general pet care services, such as grooming, day care, dog walking etc.)

Please type this in years and round up or round down to the nearest year.

Do you run your own business

Indicate yes or no

If yes please complete the section on Business. If no please complete the section on Pet Industry Employer

Your Business Information

Only complete this section if you are a business owner

Business Name

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Web Site

Facebook Page

Phone

### - ### - ####

Telephone for International Candidates

Does your business have insurance

Yes

No

Pet Industry Employer

If you are employed in the industry then please complete this section

Business Owner Name

Years of working in this business

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email

Web Site

Facebook Page

Phone

### - ### - ####

Single Line Text

Does this business have insurance

Yes

No

Volunteer Organization

Complete this section if you volunteer within the industry

Years of voluntary service (total)

Please round this up or down to the closest year

Names of all pet care voluntary organizations with which you have volunteered

Full address of current or recent organization where you have volunteered

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email address of current or recent organization

Website address of current or recent organization

Phone of current or recent organization where you have volunteered

### - ### - ####

International phone of current or recent organization where you have volunteered

Scholarship Program

The program you are applying for must commence within six months of the scholarship being awarded, which is June 15 each year. You will need to provide the following information:

Name of Program

If you select other then please make sure you complete the questions below . If you select a program from the drop down list then you do not need to complete the other question in this section

Program start date

MM / DD / YYYY

Only complete form if you selected "other" program

Full cost of program

$ Dollars . Cents

Program website Complete link to the program you are applying for

How often does the program run

Only complete form if you selected "other" program

Additional Questions

please provide answers to these last 3 questions using only 250 words per answer.

1. Would you accept a partial scholarship? In other words, if you were granted part of the cost of the program, would you accept it?

Choose yes or no

2. Why should your application be selected over others?

Your answer

3. How will you use this new knowledge?

Your answer

4.What special interest do you have in the pet industry?

Your answer

Signature

Clear

Please sign here to confirm this information is accurate and true