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AWR 2024 Application
Roping Clinic Application
* Indicates required question
Email
*
Your email
First & Last Name
*
Your answer
MAILING ADDRESS: STREET, CITY, STATE, ZIP CODE
*
Your answer
PHONE NUMBER
*
Your answer
First time to attend AWR clinic?
*
Yes
No
Are you available January 6, 2024?
Clinic Location: Casa Grande, AZ
*
Yes
No
Required
Header OR Heeler
*
Header
Heeler
What is your Classification?
*
No Classification
3
3+
4
4+
5
5+
6
6+
7
7+
8
8+
9
9+ (Heeler)
10 (Heeler)
Required
Affiliation
*
Army
Army Reserve
Army National Guard
Marine Corp
Marine Corp Reserve
Navy
Navy Reserve
Air Force
Space Force
Air Force Reserve
Air National Guard
Coast Guard
Emergency Medical Technician
Firefighter
Paramedic
Police Officer
Required
CURRENT STATUS
*
Active Duty / Reserves / National Guard
Retired
Veteran
Currently Employed (First Responders)
Required
PROVIDE STATE DRIVER'S LICENSE
*
Add file
Required
PROVIDE A COPY OF DD214, PROOF OF ACTIVE DUTY, RESERVE, NATIONAL GUARD, OR PROOF OF FIRST RESPONDER (
Redact Social # and DOB
)
*
Add file
Required
What makes you a good candidate for this school?
*
Your answer
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