* 1. Address

* 2. What is your occupation?

* 3. Are you a NRA member?

* 4. If NRA member, give status: (e.g. Annual, Life, or etc.)

* 5. Do you currently hold rating as an NRA Basic Firearm Instructor or NRA Shooting Coach? Which?

* 6. Which Instructor ratings are you interested in obtaining?

* 7. Why do you wish to become an NRA Instructor?

* 8. Where do you plan to hold the classroom and live fire portions of your NRA Basic Firearm Training Classes?

* 9. Briefly describe any previous teaching experience (shooting and non-shooting related).

* 10. Briefly describe your shooting experience with rifles, pistols, shotguns, muzzleloading firearms, and air guns. List the types of guns you have fired (e.g. bolt-action, semi-auto, and etc.), how long you have been shooting them, how often you shoot them, how many rounds you fired in the past six months, and the types of activities in which you participate with these guns.

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