The Human-Equine Relational Development Institute

Equine-Facilitated Learning (EFL) Level One Application Form

Please fill in and submit this form to enroll in our Equine-Facilitated Learning Level 1 US Certification program. The HERD Institute undertakes to keep all your information confidential and secure, and will not share your information with third parties.
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Please list Year, Institution, and Degree/Certificate Awarded
Please list Year, Institution, and Degree/Certificate Awarded
Please list Year, Institution, and Degree/Certificate Awarded
Please list: Year, Length of Program, Name of Program
Please list: Year, Length of Program, Name of Program
Please list: Year, Length of Program, Name of Program
DECLARATION: By typing my name in the Applicant Electronic Signature box above, I declare that all the information I have provided is true and complete to the best of my knowledge and that The HERD Institute has my permission to obtain all necessary information from the references I have listed concerning my past experience and I release all parties from any possible damages resulting from disclosing such information with or without prior written notice from me. I understand that this application does not constitute a contract of any kind. Should the HERD Institute enroll me, I may terminate such enrollment at any time. I have read and agree to the above statement and understand that by entering my name, I agree to the terms.

Please Provide the Following References:

1 Professional Reference
1 Equine Professional Reference

Please have each of them complete our online reference request form: https://forms.gle/dhLuKCvDwa1ZoAtY7