CWTI - Strength and Honor

COURSE APPLICATION FORM

PERSONAL DATA ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

Select your
Course:

Complete
Course

Module 1

Module 2

Module 3

Full Name:

Address:

ZIP:

Telephone (Day):

Telephone (Eve):

Country :

E-Mail:

Current Occupation:

Passport No:

Drivir's Licence:

No Full Provisional

Criminal Convictions:

Yes No:

NEXT OF KIN :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

Relationship:

Address:

Postcode:

Telephone Number:

E-Mail:

INFORMATIONS OF YOUR CARD ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

Payment Method :




MONEY ORDER		- CWTI - Address:9291Northlake Parkway, Orlando, Florida ZIP 32827 Phone: 407-852-1131 Fax: 407-852-9400

Card Number:

Expiration Date:

Name as
it appears on the card:

Remarks:

( * ) required entry

* ALL PAYMENT MUST CLEAR PRIOR TO COMMENCEMENT OF TRAINING."
US$ 30.00 N.S.F. CHARGE

Please send a recent C.V. and enclose two up to date Passport size Photographs.

If no C.V. please give brief details of any military/ police/security background along with any relevant experience or knowledge of self-defence or martial art qualifications. (Attach separate sheet if required).

Enclose the sum of $500.00 as a course booking fee. Confirmation of your acceptance on the course will be sent to you after receipt of the booking fee. SHIELD reserves the right to refuse applicants at their own discretion and without prejudice. Your booking fee will be returned immediately if you are not accepted into the course. The remaining balance of the course fee will be required no less than 14 days prior to commencement of the course. When processed you will receive your full joining instructions which will include your Pre read Module notes and binder, together with training centre directions. Course cancellations must be received in writing or by fax no later than two working weeks prior to commecement date. An alternative date will then be arranged, or monies returned less any administration costs.

DECLARATION TO SHIELD SECURITY CONSULTANTS AND TRAINING SERVICES

I apply to book a place on the above course. I understand that any personal accident insurance required will be taken out by myself and that. I am attending the course at my awn risk. I also undertand that if at any time it is found that. I have failed to declare facts that could effect the integrity of Shield instructors or the reputation of the company, or that my actions wild under their direction are either potentially dangerous or contrary to good order, that training will cease to be provided to me immediately.
I declare that all information on this form to be true and accurate.

Choice your course:

CLOSE PROTECTION TRAINING COURSE

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TRAINING MODULES 1 - 3

MODULE 1*

Introduction of close protection/foot drills

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MODULE 2*

Vehicle drills

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MODULE 3*

Intelligence and planning

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