NCEFT National Center for Equine Facilitated Therapy

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Employment Skills Internship Application

Employment Skills Internship Application

Employment Skills Internship Program Application

Step 1 of 2 – Contact Information

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Contact Information
First Name (of Program Participant)*
Nickname or Preferred Name*
Last Name (of Program Participant)*
Sex*
Pronouns*
Birthday*
MM slash DD slash YYYY
Age*
Ethnicity*
- American Indian or Alaska Native
- Asian
- Black or African American
- Hispanic or Latino
- Middle Eastern/North African
- Multiracial
- Native Hawaiian or Other Pacific Islander
- White
- Decline to state
Participant's Email*
Participant's Cell Phone*
Preferred Contact Method*
- Call
- Email
- Text
If Program Participant is a minor or has a Guardian, Parent/Guardian #1 First Name
Parent/Guardian #1 Last Name
Parent/Guardian #1 Address
Street Address Apt # City State ZIP Code
Parent/Guardian #1 Cell Phone:
Parent/Guardian #1 Home/Alternate Phone
Parent/Guardian #1 Email
If applicant is a minor or has a Guardian, Parent/Guardian #2 First Name
Parent/Guardian #2 Last Name
Parent/Guardian #2 Address (if different than above)
Street Address Apt # City State ZIP Code
Parent/Guardian #2 Cell Phone
Parent/Guardian #2 Home/Alternate Number
Parent/Guardian #2 Email

Participant's Background & Interests
Where do you attend school?*
What grade are you in?*
Do you have horse experience? If so, please explain:*
What are your career or future goals?*
What are 3 special areas of interest?*
Have you ever participated in any programs or activities at NCEFT?*
- Yes
- No
Please explain:*
Why do you want to participate in the Employment Skills Internship Program?*
What do you hope to gain from an Internship at NCEFT?*
COVID-19 Vaccination Status*
- I am fully vaccinated
- I plan to be fully vaccinated by the end of 2022
- I will not be getting vaccinated
- Decline to state
Please provide the name of one personal reference (teacher, coach, counselor etc.):
Reference Phone Number*
Reference Email*

NCEFT: HORSES. HOPE. HEALING.

Horses. Hope. Healing. Three simple words that when combined have the power to transform lives. NCEFT is centered around helping people. We are about compassion, inclusiveness, and offering the highest level of service to those in need. We do this by harnessing the unique connection between horses and humans. NCEFT is also about community. Many of our clients and families describe NCEFT as a place that feels like home with people who feel like family.

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NCEFT
880 Runnymede Road
Woodside, CA 94062-4132

P: (650) 851-2271
F: (650) 851-3480
E: info@nceft.org

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© 2022 The National Center for Equine Facilitated Therapy. NCEFT is a non-profit 501(c)(3) public benefit corporation established in 1971. Tax ID# 94-2378104.