Eagala Military Services - Program Designation Application




Rationale for the creation of Eagala Defence Forces/Military Services Program Designation


Eagala acknowledges the necessity and advantage of culturally and clinically competent provision of services in providing Eagala Model to our Defence Forces / Military Service members and their families. Applying for the distinction of the Eagala Military Services designation establishes a willingness to provide culturally relevant services to those who have served their country.

The defence forces population is unique in that authority for programming comes from centralized agencies (government and private) which look to provide services through recognized, credible organizations and provide replicable programming throughout the world.

Having a specialized program distinction heightens the credibility of the quality of services which will be offered along with creating an organized system to provide services across multiple locations.

This provides further advantage in successfully promoting Eagala Model services with defence agencies. 

The Eagala Military Services Program designation was created to identify programs who have a military designated team along with other quality assurance requirements.

Eagala Military Services Programs are put on an identified referral list and are eligible for potential funding that Eagala is working to obtain worldwide for Eagala Model services to this population. 

Eagala Military Services Programs provide a network of organizations providing Eagala Model services with this population who can collaborate and work together in gathering data to support this work, share resources, offer replicable programming, and be a unified force in advocating for this work. 

Benefits
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APPLICATION FOR PROGRAM DESIGNATION

Instructions: 
  1. The program designation expires every year and requires annual completion of this application to renew the designation.
  2. Complete information below. All responses must be checked Yes and required information supplied for application to be considered.  
  3. Submit non-refundable application fee.
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Program Name:

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Program Address:

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Application Contact Person Name:

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Contact Person Email:

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Contact Person Phone:

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Complete the following - mark Yes to indicate commitment to the standard/requirement and fill in requested information:

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1. Program must have an Equine Specialist (ES) and a Mental Health professional (MH) where BOTH have the Eagala Military Services Individual Designation currently working in program's sessions and who are completing at least 6 hours of military-focused continuing education each year. 
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1a. Name(s) of designated ES's:

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1b. Name(s) of designated MH's:

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2. Program has minimum experience of 15 hours of Eagala Model sessions with military clients and can currently provide Eagala Model services.
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2a. Describe what program has done that indicates completion of this requirement:

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3. Program has a professional website that indicates Eagala Model work with the military population and adherence to Eagala standards. 
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3a. Link to website page:

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4. Attestation:
Program attests to having professional business practices in place, including insurance coverage, proper documentation and privacy practices, first aid/CPR qualifications, risk management policies and procedures, compliance with government, mental health and billing regulations and requirements, and overall professional and ethical practice with a commitment to high standards.  
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5. Commitment: 
Program commits to following the above standards and Eagala Model standards and ethics, and to be involved in the Eagala Military Services Programs network through collaboration, sharing resources, collecting and sharing data, continuing professional development, and supporting efforts to advocate for Eagala Model services and funding with this population through both individual and unified efforts and projects.
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Indemnification
To the extent permitted by law, I hereby agree to protect, indemnify, defend, and hold harmless Eagala, the Eagala Board and Committees, and all Eagala employees, agents, directors, and associates against all claims/losses arising out of association with Eagala including, but not limited to, certification, designations, errors and omissions, membership, and participation in any Eagala sponsored workshops, except those claims arising out of the sole gross negligence or willful misconduct of Eagala.

Attestation
I hereby attest that this application contains no false or misleading statements and that all information is true and accurate.  I attest that by checking Yes to the statements above, program meets said criteria. I understand that if anything in this application is false or misleading, it can result in loss of designation and/or Eagala certification.

Program endorses the above Indemnification and Attestation statements.  Signature by Program contact person: 
 
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7. Submit application and fee
After clicking the Submit button below, your application will be sent to Eagala, and the Eagala Store page will show to pay the $250 nonrefundable application/renewal fee (fee helps support administrative, marketing, advocacy and funding efforts).  

You will receive notice of approval, or that more information is needed, within 2 weeks of the application submission.
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Contact Cindy@eagala.org with any questions, or add any questions/comments here: