Sunrise Therapeutic Riding & Learning Centre
6920 Conc. 1
R.R. #2
Puslinch, ON
N0B 2J0
CANADA
Telephone: (519) 837-0558
Fax: (519) 837-1233
Email: info@sunrise-therapeutic.ca
Website: www.sunrise-therapeutic.ca
INTERNSHIP PROGRAM APPLICATION
Please print this application and either fax or mail to Sunrise
Date of Birth:
Address:
City: Province/State/Region:
Country: Postal Code:
Telephone: Fax:
Email:
Height:_______________ Weight: ________________
(This is for weight/horse ratio and riding purposes.)
Number of years riding experience:
___ Beginner ___ Intermediate
___ Advanced ___ Dressage ___ Jumping
Have you been a member of Pony Club? ___ Yes ___ No
Have you owned a horse? ___ Yes ___ No
If 'Yes', was it: ___ boarded ___ kept at home
Please give a brief description of your riding experience.
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Have you had any experience with therapeutic riding students? ___ Yes ___ No
If'Yes', explain:
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Do you have any Instructor certification? ___ Yes ___ No
If 'Yes':_________________________________
Reason for Applying (Expectations):
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Please check appropriate time period.
From __________________ to ___________________ (state month and year)
Your exact dates will need to be discussed with Ann Caine, Executive Director.
Education Information Outline (please attach a resume
2 months _____ 3 months _______ 4 months ______ 6 months______
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For oversees students: Do you have any family/friends in Canada that you may stay with? ___ Yes ___ No
If 'Yes', where are they located?______________________________________________________
Are you planning to travel ___ alone or ___ with a friend?
Do you need accommodation? ___ Yes ___ No