The HERD Institute Application Form
Please fill in and submit this form to enroll in our Equine-Facilitated Learning or Equine-Facilitated Psychotherapy Certification programs.The HERD Institute undertakes to keep all your information confidential and secure, and will not share your information with third parties.
We look forward to welcoming you to The HERD!
Date of Birth
Date of Application
I am applying for enrollment in the following program:
Equine-Facilitated Learning Certification
Equine-Facilitated Psychotherapy Certification
My preferred payment method is:
EFL: $800 Full Tuition upfront
EFL: Pay per module ($200 per online module, $500 for 3 day Intensive)
EFL: I am eligible for the Student Discount
EFP: $3,500 Full Tuition upfront
EFP: Pay per workshop ($750 per workshop)
EFP: I am eligible for the Student Discount
Degrees and Qualification Held:
Please list Year, Institution, and Degree/Certificate Awarded
Post-Graduate and/or Additional Training Experience(s)
Please list: Year, Length of Program, Name of Program
What attracts you to The HERD Institute?
Please describe your experience with horses (please include any riding experience):
What do you hope to gain from this training?
Please provide a Personal Statement about yourself and your experience:
Do you have any special needs or dietary requirements, while you are at the training? (Please check all that apply)
Please provide details for 3 referees (2 academic/professional, and 1 personal)
Please provide the following details for each referee:
Please use this space to provide any further information you feel may be relevant:
Please email a copy of your most current resumé to
I have emailed my resumé
I do not have a current resumé so will email one within the next 5 days
By entering my name in the Applicant Electronic Signature box below, 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.
Applicant Electronic Signature (Please print name below)
Thank you for your application! The team at The HERD Institute will be in touch soon.
Send me a copy of my responses.
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