Private L4 Evaluation Application

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Thanks for your interest in hosting a private course! Please complete the following questions.

Private Level 4s are scheduled Monday - Friday and booked 6-12 months in advance. Please make sure to submit dates that fall on a M-F and that are 6 months of further from the current date.

What is your first name? *

What is your last name? *

What is your email address?
*

What is the name of the facility where the evaluations will be conducted?
*

What is the facility's address?
*

What is the first and last name of the facility's point of contact?
*

What is the email address for the facility's point of contact?
*

What is the phone number for the facility’s point of contact?
*

How many candidates will be taking the evaluation? (Limit 2 candidates per day)
*

Which dates are your first preference? Select the FIRST day of your consecutive two-day evaluation.
*

YYYY

Which dates are your second preference? Select the FIRST day of your consecutive two-day evaluation.
*

YYYY

I have read the host responsibilities checklist for the Level 4 evaluation and confirm that I can meet the responsibilities.
*

I agree

Required

I understand that the Level 4 evaluation is currently offered in English only. All candidates and class participants must speak English during the evaluation.

I agree

I agree.

Payment

I agree that payment must be made by one payment source. *

I agree

Required

I agree that no refunds are allowed once payment is made. *

I agree

Required

I agree that ArmyIgnitED cannot be used for private courses. *

I agree

Required

Contract

I agree that signing a contract will be required before the course is scheduled and services are rendered.
*

I agree

Required

Submit

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