Application to Deer Hunt on
the National Conservation Training Center
Shepherdstown, WV

1. Please fill in the fields completely.
2. Fill in the Email address where you would like to receive your hunt selection results.
3. Questions, contact the Land Management Office at 304 876-7474 or send Email to

Only one application may be submitted by each person (duplicates disqualified).

Applications must be received by Thursday, August 31, 2017.
Shooting times and other information are specified in the NCTC - Deer Hunting Requirements document.

Before submitting an application make sure that you have completed the Deer Hunt Orientation.

First Name   MI  Last Name   Suffix
City    State    Zip  
Phone    Email

  Check Dates and Times of Hunts You Would Like to Apply for:

Hunters with disabilities may apply for all available dates.

I have a disability and might need accommodation.

  By clicking the SUBMIT button, you certify that you have completed the Deer Hunt Orientation.

If selected, hunters must provide proof at check-in of a WV hunting license (out-of-state applicants with WV license permitted) and a certificate for a hunter safety course.

Visit the NCTC web site for hunting times, scouting sessions, regulations, and more information.

Contact Information:
Phone: 304-876-7474.

Mailing Address:
Attn: Land Manager
698 Conservation Way
Shepherdstown, WV 25443

In accordance with the Privacy Act (5 U.S. C. 552a) and the Paperwork Reduction Act (44 U.S. C. 3501), please note the following information:

1. The issuance of a permit on lands of the U.S. Fish and Wildlife Service is authorized by the National Wildlife Refuge System Administration Act (16 U.S. C. 668dd-ee) as amended, and the Refuge Recreation Act (16 U.S. C. 460k-460k-4).

2. The information that you provide is voluntary; however submission of requested information is required to evaluate the qualifications, determine eligibility, and document permit applicants under the above Acts. It is our policy not to use your name or email for any other purpose. The information is maintained in accordance with the Privacy Act. All information you provide will be considered in reviewing this application. False, fictitious, or fraudulent statements or representations made in the application may be grounds for revocation of the permit and may be punishableby fine or imprisonment (18 U.S.C. 1001). Failure to provide all required information is sufficient cause for the U.S. Fish and Wildlife Service to deny a permit.

3. We estimate the public reporting burden on the applicant for information collection to be 30 minutes. This burden estimate includes time for reviewing instructions, gathering and maintaining data and completing and reviewing the form. You may direct comments regarding the burden estimate or any other aspect of the form to the Service Information Clearance Officer, U.S. Fish and Wildlife Service, Mail Stop BPHC, U.S. Department of the Interior, 1849C Street, NW,Washington D.C. 20240.

4. Routine use disclosures may be made: (a) to the U.S. Department of Justice when related to litigation or anticipated litigation; (b) of information indicating a violation or potential violation of astatute, rule, order, or license to appropriate Federal, State, local or foreign agencies responsible for investigating or prosecuting the violation or for enforcing or implementing the statute, rule, regulations, order, or license; (c) from the record of the individual in response to an inquiry from a Congressional office made at the request of the individual (42 FR 19083; April 11, 1977); and (d) toprovide addresses obtained from the Internal Revenue Service to debt collection agencies for purposes of locating a debtor to collect or compromise a Federal Claim against the debtor, or toconsumer reporting agencies to prepare a commercial credit report for use by the Department (48 FR 54716; December 6, 1983).

5. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. This information collection has been approved by OMB and assigned control number 1018-0140.

OMB Control Number:
Expires 05/31/2018