FASTER - Faculty/Administrator Safety Training and Emergency Response

Thank you for your interest in the FASTER program. If you wish to be considered for this training, please complete the questionnaire below. Answer every question as thoroughly and accurately as possible.

Submission of this form also indicates your wish to be put on our low-volume FASTER Newsletter list so we can communicate with you about training information, class dates, and other news. If you later wish to unsubscribe from this list, you may do so at any time.

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1. Have you previously filled out this form?

Yes

I'm not sure

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2. Please provide complete information. (This will be kept confidential.)

First Name

Last Name

County

Address

City

State

ZIP

Cell Phone (NOT school)

Phone (secondary)

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3. Sex

Male

Female

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4. What is your position?

Teacher

Administrator

Office Staff

Guidance Counselor

School Social Worker

School Nurse

Librarian

Maintenance

Custodial

Food Service

Transportation

Substitute

Other (please specify)

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5. In what type of school do you work?

Public

Private

Professional / Technical

Charter

Parochial

Home School

Other (please specify)

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6. With what grade level do you work?

Kindergarten

Grade School

Middle School

High School

College

Other (please specify)

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7. Where is your school located?

City

State

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8. Tell us the type of area in which your school is located.

Urban

Suburban

Rural

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9. About how many students attend your school?

Fewer than 50

50 - 100

100 - 250

250 - 500

Over 500

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10. About how many teachers / employees work at your school?

Fewer than 10

10 - 25

25 - 75

75 - 150

Over 150

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11. Do you have a handicap or other special needs or considerations? (We ask this because specialized training is available.)

Yes

Optional comments:

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12. What kind of self defense training to you have?

Armed Self Defense

Unarmed Self Defense

None

Other (please specify)

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13. Please tell us about your personal experience with firearms.

I have extensive experience.

I have moderate experience.

I have a little experience.

I have no experience.

Optional comments:

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14. With what types of firearms are you experienced? (Choose all that apply.)

Handguns

Rifles

Shotguns

None

Other (please specify)

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15. Do you have a license to carry a concealed handgun issued by the state in which you work?

Yes

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16. This class requires specific equipment. Which of the following do you have available?

Handgun

Holster (belt or in the waistband)

Extra Magazines or Speedloaders

Magazine Holder

Sturdy Belt

None

Optional comments:

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17. Are you familiar with Tactical Defense Institute?

Yes, I've attended a firearms class there.

Yes, I've attended a non-firearms class there.

Yes, but I've never taken a class there.

No.

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18. What is the status of your permission to carry in your school?

I have been granted permission to carry a firearm in school.

I have conditional permission to carry, pending successful completion of this class.

I have not asked permission, but I expect it to be granted after completion of this class.

I have not asked permission, and I expect getting permission will be difficult.

I have no idea how my board would react to my request to have a firearm in school.

Optional comments:

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1. Have you previously filled out this form?

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2. Please provide complete information. (This will be kept confidential.)

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3. Sex

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4. What is your position?

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5. In what type of school do you work?

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6. With what grade level do you work?

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7. Where is your school located?

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8. Tell us the type of area in which your school is located.

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9. About how many students attend your school?

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10. About how many teachers / employees work at your school?

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11. Do you have a handicap or other special needs or considerations? (We ask this because specialized training is available.)

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12. What kind of self defense training to you have?

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13. Please tell us about your personal experience with firearms.

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14. With what types of firearms are you experienced? (Choose all that apply.)

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15. Do you have a license to carry a concealed handgun issued by the state in which you work?

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16. This class requires specific equipment. Which of the following do you have available?

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17. Are you familiar with Tactical Defense Institute?

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18. What is the status of your permission to carry in your school?

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19. Please provide any other information you think is important.