NRA Basic Firearm Training Course Report Form

Chief Instructors should submit this form within 10 days of completion to the NRA Training Department. Please provide all information requested. This data will allow the NRA to monitor training as it occurs.

(Please provide this information for students who completed the course.)

Was an NRA course completion certificate awarded:

Course Type:

Discipline:
Basic Rifle
Basic Pistol
Basic Shotgun
FIRST Steps Rifle
FIRST Steps Pistol
FIRST Steps Shotgun
Muzzleloading Rifle
Muzzleloading Pistol
Muzzleloading Shotgun
Personal Protection In The Home
Personal Protection Outside The Home
Home Firearm Safety
Reloading

Other (please specify)

Course Date:
Course Length (in hours):
Course Location:
Chief Instructor Name:
Chief Instructor ID Number:
Chief Instructor Email:
Chief Instructor Daytime Phone:

Instructors who assisted with the course

Please list the name, instructor number and email (optional) of any NRA certified instructor(s) who assisted with the course.

Name Instructor Number Email Address

Student Roster
(Note: Please indicate "no info" for nonmembers who do not wish to receive NRA membership information.)

Name Street/City/State/Zip Code NRA Member?

Comments?

By clicking submit, you are sending the report data to www.nratraining.com which will forward this information to the NRA Training Department. This is not an official NRA website. A copy of what is submitted will also be emailed to the email address you entered above.

Discipline:
Basic Rifle Basic Pistol Basic Shotgun	FIRST Steps Rifle FIRST Steps Pistol FIRST Steps Shotgun	Muzzleloading Rifle Muzzleloading Pistol Muzzleloading Shotgun	Personal Protection In The Home Personal Protection Outside The Home Home Firearm Safety Reloading
Other (please specify)

Course Date:
Course Length (in hours):
Course Location:
Chief Instructor Name:
Chief Instructor ID Number:
Chief Instructor Email:
Chief Instructor Daytime Phone: