NRA Course Report by rolo14

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									                      NRA FIREARM TRAINING COURSE REPORT
                                   INSTRUCTIONS
This form is to be filled out only by NRA Certified Instructors to document the completion of NRA Training courses.

Additional pages are supplied in this file. They are to be used only when there are more than ten students or six additional
instructors to be reported. Please note that the line numbering on subsequent pages is arranged to allow the bottom
line of the previous page to contain "CONTINUED ON NEXT PAGE" instead of student data. If the bottom line is
instead used to hold student data, the line numbering on subsequent pages will not provide an accurate student count.

If you sign a student up as a new NRA member during the course, enter "NEW" in the "NRA Member" column instead
of "YES" or "NO."
                                 NRA FIREARM TRAINING COURSE REPORT

Chief Instructors should submit within ten days of course to: NRA Training Department, 11250 Waples Mill Road, Fairfax,
VA 22030. Please provide all information required. This data will allow us to monitor training as it occurs.

Name and ID Number of                                                             Signature of
Chief Instructor (Please print): __________________________                       ChiefInstructor: ___________________________

CourseType:          t NRA Basic Firearm Training Course       t NRA FIRST Steps Orientation
(Check one only)     t BSA Merit Badge Program                 t 4-H Shooting Sports Program
                     t Other (specify): _____________________________________________________________
(Note: Only the NRA, BSA, and 4-H courses listed above count toward the NRA Instructor annual activity requirement.)

Discipline:                t Rifle                                 t Pistol                              t Shotgun
(Check one only)           t Muzzleloading Rifle                   t Muzzleloading Pistol                t Muzzleloading Shotgun
                           t Home Firearm Safety                   t Personal Protection                 t Women’s Personal Safety

Date of Report: ________________                Course Date(s): ____________________                     Length of Course in Hours: ____

Course Location(s): _____________________________________________________________________________

Number of Students Registered: _________                            Number Who Successfully Completed Course:_________

Number of: Adult Males ________ Junior Males _________ Adult Females _________ Junior Females ______
(Please provide this information for students who completed the course. Junior = not yet 21 in a current calendar year.)

Names and ID Numbers of other NRA Instructors who assisted in a teaching capacity: (Please print. Use an additional
sheet if necessary.)

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________


                                                            Student Roster
                                                                                                                                          NRA
              Name (Print)                                                    Street,City,State,Zip                                     Member?

1 ____________________________                       ________________________________________________                                   _______

2 ____________________________                       ________________________________________________                                   _______

3 ____________________________                       ________________________________________________                                   _______

4 ____________________________                       ________________________________________________                                   _______

5 ____________________________                       ________________________________________________                                   _______

6 ____________________________                       ________________________________________________                                   _______

7 ____________________________                       ________________________________________________                                   _______

8 ____________________________                       ________________________________________________                                   _______

9 ____________________________                       ________________________________________________                                   _______

10 ____________________________                      ________________________________________________                                   _______

14685   Use additional forms if necessary. Chief instructors should retain copies for their records. NRA Certfied Instructors may reproduce this form.
                                  COURSE REPORT CONTINUATION SHEET

Names and ID Numbers of additional NRA Instructors who assisted in a teaching capacity:

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________




                                                Student Roster (Continued)
                                                                                                                                         NRA
            Name (Print)                                                   Street, City, State, Zip                                    Member?

10 ____________________________                      ________________________________________________                                   _______

11 ____________________________                      ________________________________________________                                   _______

12 ____________________________                      ________________________________________________                                   _______

13 ____________________________                      ________________________________________________                                   _______

14 ____________________________                      ________________________________________________                                   _______

15 ____________________________                      ________________________________________________                                   _______

16 ____________________________                      ________________________________________________                                   _______

17 ____________________________                      ________________________________________________                                   _______

18 ____________________________                      ________________________________________________                                   _______

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20 ____________________________                      ________________________________________________                                   _______

21 ____________________________                      ________________________________________________                                   _______

22 ____________________________                      ________________________________________________                                   _______

23 ____________________________                      ________________________________________________                                   _______

24 ____________________________                      ________________________________________________                                   _______

25 ____________________________                      ________________________________________________                                   _______

26 ____________________________                      ________________________________________________                                   _______

27 ____________________________                      ________________________________________________                                   _______

28 ____________________________                      ________________________________________________                                   _______



14685   Use additional forms if necessary. Chief instructors should retain copies for their records. NRA Certfied Instructors may reproduce this form.
                                   COURSE REPORT CONTINUATION SHEET

Names and ID Numbers of additional NRA Instructors who assisted in a teaching capacity:

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________

________________________________ __________                                 __________________________________                       _________




                                                Student Roster (Continued)
                                                                                                                                         NRA
            Name (Print)                                                   Street, City, State, Zip                                    Member?

28 ____________________________                      ________________________________________________                                   _______

29 ____________________________                      ________________________________________________                                   _______

30 ____________________________                      ________________________________________________                                   _______

31 ____________________________                      ________________________________________________                                   _______

32 ____________________________                      ________________________________________________                                   _______

33 ____________________________                      ________________________________________________                                   _______

34 ____________________________                      ________________________________________________                                   _______

35 ____________________________                      ________________________________________________                                   _______

36 ____________________________                      ________________________________________________                                   _______

37 ____________________________                      ________________________________________________                                   _______

38 ____________________________                      ________________________________________________                                   _______

39 ____________________________                      ________________________________________________                                   _______

40 ____________________________                      ________________________________________________                                   _______

41 ____________________________                      ________________________________________________                                   _______

42 ____________________________                      ________________________________________________                                   _______

43 ____________________________                      ________________________________________________                                   _______

44 ____________________________                      ________________________________________________                                   _______

45 ____________________________                      ________________________________________________                                   _______

46 ____________________________                      ________________________________________________                                   _______



14685   Use additional forms if necessary. Chief instructors should retain copies for their records. NRA Certfied Instructors may reproduce this form.

								
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