Eagala Military Committee Application

Military Committee Mission Statement:

“To Serve Those Who Have Served”

Military Committee Objectives:

The Military Committee exists to expand the availability of the EAGALA Model to, Servicemembers (past present and future) and by fostering partnerships with Veteran Service Organizations (VFW, DAV, American Legion, etc.), The US Dept of Veterans Affairs and other Military focused Non-Profit Organizations globally, supporting outreach, curriculum development, and cultivating pathways for servicemembers, veterans and providers to engage in equine-assisted psychotherapy and learning (EAP/EAL).

This committee provides insight, recommendations, and collaborative support to Eagala staff and leadership in advancing integration of the EAGALA Model at as many servicemember/veteran touchpoints as possible.

Additionally, this committee develops innovative approaches to secure funding to support EAGALA model sessions to those servicemembers and veterans through grants and community funding sources.

Recommendations for Military Committee Members

1. Positions are open to all Eagala members. We encourage members from every Region to apply.

2. The Military Committee Chair will review all applications for the committee and discuss with the existing Military Committee Members.

3. The Military Committee Chair and the Militarys Committee members should not benefit financially from any arrangement which might be interpreted as a conflict of interest.

4. All Military Committee Members must maintain a current active Eagala Certification

5. The members of the Eagala Military Committee should act with complete autonomy with their work

Name

Last NameFirst Name

Date

Email

example@example.com

Address for correspondence

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

Home Phone

Format: (000) 000-0000.

Gender Identity

Other

Title/Profession

Company Organization

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Work Phone

Format: (000) 000-0000.

Are you a currently certified?

How many years have you been practicing the Eagala Model?

Do you have a history of military service?

Do you have a history of being a military spouse/dependent/family member?

Do you have a history of providing psychotherapy to military members and/or military family members?

Are you or have you been involved in any other Eagala Organization committees? If yes, please explain.

What motivates you to apply to serve on the Military Committee?

Please provide details on why you would like to be an Eagala Military Committee Member.

How much time would you have to dedicate to the committee (a week, a month, etc…)?

After your application has been reviewed you may be asked to interview in order for us to better get to know you. Please have references available upon request.

Thank you for your interest.

I certify, by my signature, that the information contained within this application and all supporting documents (i.e., resume, recommendation letters, etc.) is true, accurate, and complete to the best of my knowledge. An electronic signature is accepted.

Signature

Date

Eagala Military Committee Interest Form

Personal Information

Business/Work Information