2025 EquuSpecialist Cohort

2025 EquuSpecialist Cohort | Interest Form
If you would like to be considered to join our Fall 2025 Cohort of Equuvation's exclusive EquuSpecialist Program, please complete the form below.

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CHOICE OF INVESTMENT:

A one-time donation of $650 (2 installments of $325 ea) -or- A donation of time to Equuvation (80 hours required within one year of registering; separate than training/observation hours within the EquuSpecialist program)

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Submitting this form is not a commitment. Following receipt of this form, you will receive an email with next steps.

For specific questions, please email: erica@equuvation.org
Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date of Birth
Tell us a little about YOU! Who or what do you enjoy most in life? Who or what “fills your cup?” Do you have unique talents or hobbies? What was your first job, or what is your dream job? Have you been to a unique place on the globe that changed you? What season do you enjoy most? What place have animals had in your life? Please share anything about yourself that you wish to!
Please briefly explain any current/past experience with horses, personal and/or professional, if any:
Please briefly explain any current/past experience in the equine-assisted activities and therapies field, if any:
Why are you inspired to pursue training as an Equine Specialist in Mental Health and Learning?
What do you wish to do with this training and certification program upon completion?
Do you wish to pursue official PATH certification within the next 12 months?

YesNoUnsure/MaybeI am already certified in this modality
Do you wish to pursue official EAGALA certification within the next 12 months?

YesNoUnsure/MaybeI am already certified in this modality
Do you wish to pursue official Natural Lifemanship certification within the next 12 months?

YesNoUnsure/MaybeI am already certified in this modality
Do you wish to pursue official The HERD Institute certification within the next 12 months?

YesNoUnsure/MaybeI am already certified in this modality
Please share any notes below on scheduling or your availability that you wish to as it relates to FALL AND WINTER 2025 (we will use this info to schedule in-person workshops for the EquuSpecialist program):
Are there specific AGES you are interested in working with? (check any/all that may apply)

Youth (3-9)Tweens (10-12)Teens (13-17)Young Adult (18-25)Adult (26+)Other
Of the above AGES, which is/are your TOP INTEREST(S)?
Are there specific PROGRAMS you are interested in working with? (check any/all that may apply - opportunities not guaranteed)

Equine-facilitated Psychotherapy (EFP/EAP)Equine-assisted Learning (EAL/EFL)Therapeutic HorsemanshipOpen Youth EAL/Horsemanship GroupsOpen Adult EAL/Horsemanship GroupsRetreats
Of the above PROGRAMS, which is/are your TOP INTEREST(S)?
Are there specific POPULATIONS you are interested in working with? (check any/all that may apply)

Foster Care / Adopted YouthTraumaWomen-Specific ChallengesMen-Specific ChallengesLGBTQIA+DepressionAnxietyGrief/LossChronic IllnessCancer SurvivorsSibling SetsCouples / RelationshipsVeteransLaw Enforcement / First RespondersTeachersMedical ProfessionalsStudents (High School / College)Autism Spectrum Disorder (ASD)Individuals with Physical DisabilitiesTraumatic Brain InjurySpinal Cord InjurySeniors (60+)Other
Of the above POPULATIONS, which is/are your TOP INTEREST(S)?
Anything else you would like us to know? Questions, comments, etc:
Should be Empty:

2025 EquuSpecialist Cohort | Interest Form