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Equine Wisdom Integration Method™ Application
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
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Address
Your answer
How did you hear about the Equine Wisdom Institute?
Your answer
Do you have any current certifications in horses or mental health?
Yes
No
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If yes, please list past or current certifications.
Your answer
What is your experience level with horses
None
Beginner
Intermediate
Advanced
Expert
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Please give a brief description with the details of your horse experience.
Your answer
Why do you want to become a EWIM Facilitator?
Your answer
Which certifications are you interested in?
Level 1 - Individual Facilitation with Charts
Level 2 - Group Facilitation with Curriculum
Level 3 - Advanced Facilitation
Business Development Course
How quickly are you looking to get started?
1-3 mos
3-6 mos
6-12 mos
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What is the best way to contact you?
Email
Text Message
Phone Call
Other:
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Is there anything else you would like us to know?
Your answer
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