Supervision Inquiry Form

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Which university did you graduate from/anticipate graduating from? *

When did you graduate and/or anticipate graduating? *

Please select your highest level of education *

Please describe your clinical areas of interest *

Please describe past education and/or training in animal assisted therapy (including equine assisted counseling) *

Please list any current and/or planned internship sites *

Please leave any questions and/or comments *

Submit