Thank you for your interest! Please complete the following application and submit a $100 USD non-refundable fee. We will review your application and respond within 14 days.
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1.
Name
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Business Name:
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3.
Street Address
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4.
Phone Number
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5.
Email Address
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6.
Primary Eagala Role:
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7.
Number of hours Eagala work completed to date:
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8.
Average number of Eagala session hours per month expected in future:
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9.
Name(s) of your Eagala team partner:
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10.
Location of your Eagala work:
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11.
Type of setting (check all that apply):
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12.
Ages of your Eagala clients (if more than one population, indicate % of your practice for each category).
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13.
Issues and/or diagnoses addressed in your Eagala Model work (please describe in detail):
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14.
Any other information about your work that you want us to know:
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15.
Referring back to your professional portfolio, write a paragraph describing how you have addressed and built on your professional development goals from that time, and what you have learned about yourself as an Eagala Model facilitator. Please be specific.
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16.
Please write a paragraph and discuss the top 2-3 primary strengths you bring to Eagala work and the 2-3 areas of challenge that you want to focus on through this Advanced Certification program.
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17.
Please write a paragraph describing what "Advanced Certification" means to you.
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18.
Based on your response above, write a paragraph describing how becoming Advanced Certified will benefit the people you serve through your Eagala Model work.
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19.
Write a paragraph describing how becoming Advanced Certified will benefit Eagala as an organization.
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20.
Now, please tell us about your alignment with the mission, vision, and values of Eagala.
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21.
Becoming Advanced Certified within Eagala mean that you are a role model and ambassador for Eagala, modeling the highest standards of practice and demonstrating Eagala values in the work you do every day. Please reflect on the values below, and write a paragraph describing how you see yourself furthering these values, if accepted into the Advanced Track Mentoring program. Values: POSITIVE IMPACT: Serve society through making a positive impact in the lives of people and horses QUALITY: Focus on standards of quality, professionalism and excellence in all programs and at all levels of the organization INTEGRITY: Ensure that principals, ethical standards and a clear identity guide our decisions and actions COLLABORATION: Maintain a culture of collaborations through supporting one another and sharing information, experience and ideas CONTINUOUS IMPROVEMENT: Nurture a commitment to learning, innovation and improvement
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Attestation: I understand that the Advanced Track Mentoring Program is time intensive and has multiple requirements and I attest that I am ready to take on this responsibility.
