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Evaluator Test Summary Form

Test Information

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State where test was
held*

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Please enter the name of the store
Please describe your 'Other' selection above
Evaluator Information

State*

e.g.: 202-555-1212

Summary Information
Verification

Checking this box attests I have the required experience for conducting AKC S.T.A.R. Puppy, AKC Community Canine or CGC evaluations. I am an AKC Approved CGC evaluator, or there is an Approved CGC evaluator working with me and co-signing this form.

Required *