Certification Application Form (EAL & EAT)

Thank you for your interest in Equine Assisted Learning (EAL) and Equine Assisted Therapy (EAT) Certification Programs with Jessica Echeverri. Please complete this form, and our team will review your application and follow up with next steps regarding enrollment, program details, and scheduling.

Last Name *

First Name *

Email *

Phone *

Professional Background

If other, please specify your practice / specialty

Current Position / Title *

Organization / Practice *

License / Credentials (e.g., LCSW, LMFT, LPC, RN, etc.) *

Years of Professional Experience *

Certification Program Selection

Which program are you applying for? *

Equine Assisted Learning (EAL) Certification

Equine Assisted Therapy (EAT) Certification

Both

Preferred Start Date *

Message / Additional Details *

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