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Application Form

How to Run an Effective Equine Assisted Program to Support the Health and Well Being of Nurses

Thank you for your interest in supporting the health and well-being of Nurses!

Name and Country *

Email *

Are you currently working as an Equine Facilitated Practitoner? * Yes No I am currently enrolled in a program

If you are certified, who did you complete your training program with? If you are "in progress' with training, who are you completing you training with, and how far are you along in the program? *

What population do you currently work with in your practice, or hope to work with when you have finished your training? *

Your website and social media page if you have one. *

How long have you been practicing? *

Under 1 year 2-4 years 5-7 years 8-11 years 12 years plus Other

Please tell me why you would like to work with nurses? *

Tell me about your horses and how they participate in your program. Point form is great. *

Have you completed on-line education in the past? How was the experience for you? *

Is there anything else you would like to share about why you would like to work with nurses in your program? *

After review of this application form, you will receive an e-mail with in two days, with follow up information. Please check your junk file. Thank you for your interest in promoting health and wellness for nurses.

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