CEIP-ED Application

All documents must be included with the application.
An application submitted without supporting documentation will need to be resubmitted.

Candidate Information

Applications must be received by the submission dates of March 30, June 30 and September 30. Please contact us at info@cbeip.org with any questions.
Your Name
MM slash DD slash YYYY
Your Email Address(Required)
Address(Required)
Have you taken this Certification before?(Required)
If yes, please provide:
Have you ever been Certified by CBEIP before?
If yes, please provide:
Have you ever been Certified by CBEIP before?
If yes, please provide:

Eligibility and Background Information

Highest academic level achieved:(Required)
Years of practice with equines:(Required)
Hours per week of practice or teaching with equines:(Required)
(Total Education/Training hours from worksheet)
(Total of Professional Experience Hours from worksheet)
(Delivery of Equine Interaction services from worksheet

Horse Experience/Information

Do you own your own horse(s)?
Do you or have you ever cared for your own horse(s)
Have you ever received formal riding or groundwork instruction?
Do you have any recognized riding instructor credentials?
Has your license, teaching, coaching certificate or other professional credentials ever been revoked or rescinded?

CEIP TRAINING AND TEACHING HOURS LOG

Please enter relevant requested information below, Click the + symbol to the right of each field to add additional rows.
DIRECT FACILITATION IN EQUINE INTERACTIVE WORK
(MINIMUM 40 HOURS)
Date
Training/Course
Presenter/Organizer
Hours
Total Hours
 
ATTENDANCE AT EQUINE INTERACTIVE CONFERENCE, WORKSHOP OR METHOD TRAINING
(MINIMUM 40 HOURS)
Date
Training/Course
Presenter/Organizer
Hours
Total Hours
 
FORMAL TRAINING IN EQUINE BEHAVIOR/HORSEMANSHIP
(MINIMUM 40 HOURS)
Date
Training/Course
Presenter/Organizer
Hours
Total Hours
 
PROFESSIONAL EXPERIENCE
(MINIMUM 3 YEARS OF PROFESSIONAL SERVICE – FULL TIME EQUIVALLANT)
Date
Training/Course
Presenter/Organizer
Hours
Total Hours
 
DELIVERY OF EQUINE INTERACTIVE CLIENT SERVICES
(MINIMUM 1000 HOURS)
Date
Training/Course
Presenter/Organizer
Hours
Total Hours
 

Disclaimer and Candidate Signature

MM slash DD slash YYYY
MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
 

If you have any questions or would like more information regarding recertification please contact us