GST Hosting Inquiry

Gracie Survival Tactics® (GST) Host Inquiry

Inquiry Source * Required

Date of Inquiry

MM/dd/yyyy

Inquiry Status

CRM Record Type

CRM Record ID

CRM Account ID

CRM Contact ID

Even though GST is growing at an unprecedented rate, we are always looking to partner with new hosting departments/organizations to continue making the course available in as many territories as possible. To apply to become a host, please complete this inquiry form. Once submitted, we will reach out to go over some of the additional details and discuss the next steps and numerous benefits for hosting your first GST course.

If you run into any trouble with this application or you have questions about the program, please email GSTSupport@GracieUniversity.com.

How did you find us?

* Required

GST Instructor Certification

Gracie University HQ

Certified Gracie Jiu-Jitsu Training Center

Social Media

Web Research

Referral

Unknown / Other

Source Details

Please provide any additional information about how you found us (e.g., the name of the individual or business who referred you).

Host Agency Information

Agency Name

* Required

Is your agency a first-responder government agency (federal, local, state, tribal, county, college, police, hospital police, etc)

* Required

Yes

Agency Address

Required

Street Address

Address Line 2

Required

City

Required

State/Region/Province

Required

Postal / Zip Code

Required

United States

Country

Host Agency Point of Contact

Contact Name

Required

First Name

Required

Last Name

Title

* Required

Work Phone Number

* Required

Mobile Phone Number

* Required

Work Email

* Required

Is there a secondary point of contact that you would like to include on this inquiry?

* Required

Yes

Contact Name

First Name

Last Name

Title

Work Phone Number

Mobile Phone Number

Work Email

Can we reach you via text message?

By checking the box above, you agree to receive marketing text messages from Gracie University at the number provided, including messages sent by autodialer. Consent is not a condition of any purchase. Message and data rates may apply. Message frequency varies. Reply HELP for help or STOP to cancel.

After watching the GST Hosting Overview video, please review and confirm the information below.

I am excited to bring Gracie Survival Tactics to my agency and my region.
I am willing to help Gracie University perform outreach to fill the course.
I am able to commit an average of 1-hour per week as part of my role as a host.
I am ready to earn some free certification slots for my agency.

I understand the responsibilities of being a GST Host.

Planning Details

Do you already have a list of 15 individuals that are seriously interested and qualified to attend the prospective GST course hosted by your organization?

* Required Don't worry if you don't have your 15 qualified participants yet. We are here to help you on your recruiting efforts.

Yes

Do you have desired dates for the course?

* Required Note: We recommend at least 8 months in advance for adequate planning.

Yes

Quarter

Year

Optional Month Requested

If you have a specific month in mind, you can request it here.

MM/yyyy

Training Facility Details

Facility does not have to be secured already, we just need to know you have a place in mind that has approved the training to take place there.

Name of Training Facility

* Required

Facility Address

Required

Street Address

Address Line 2

Required

City

Required

State/Region/Province

Required

Postal / Zip Code

Required

United States

Country

Note: The standard requirement for host’s facilities is 3400+ square feet of continuous mat space. However, as long as the floor space is sufficient, we can start the process with significantly less mat space with the understanding that the mat space will need to be expanded, or a new larger facility will be obtained, if the enrollments look like they will outgrow the starting mat space. Gracie University can help obtain mats for qualified hosts.

Note: The standard requirement for host’s facilities is 2000+ square feet of continuous mat space. However, as long as the floor space is sufficient, we can start the process with significantly less mat space with the understanding that the mat space will need to be expanded, or a new larger facility will be obtained, if the enrollments look like they will outgrow the starting mat space. Gracie University can help obtain mats for qualified hosts.

How much continuous floor space does the main training room have (i.e., the total usable area)?

* sq ftRequired Note: The training area cannot be spread across multiple rooms. You can provide an approximate square footage.

sq ft

How much continuous mat space does the main training room have?

* sq ftRequired Note: You can provide an approximate square footage.

sq ft

Are wall mats available?

* Required This is only required for Level 2 and Dual Certification courses.

Yes

Is there enough space in the parking lot for vehicle extraction lessons?

* Required This is only required for Level 2 and Dual Certification courses.

Yes

Check all training facility amenities available.

Restroom

Lockers

Showers

Water Fountains

Air Conditioning

Heating

Do you have any questions or additional information for us?

Do you have desired dates for the course? (Note: We recommend at least 8 months in advance for adequate planning)

Is there enough space in the parking lot for vehicle extraction lessons?

How much continuous mat space square footage does the training facility have? (Note: Minimum 3200 sq ft. in ONE ROOM is required)

Do you already have a list of 15 individuals that are seriously interested and qualified to attend the prospective GST course hosted by your organization?

Yes

Is your agency a first-responder government agency (federal, local, state, tribal, county, college, police, hospital police, etc)

Yes

Are wall mats available?

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