Apply for Support

Are you interested in participating in Equine Assisted Therapy for yourself or for a particular Outreach Program? Select the link below to apply. Once your application has been completed, you will be contacted within 48 hours with the total process taking around 3-5 business days.

First Name

Last Name

Phone number

Email address

Age

Yearly income

Have you had therapy/counseling in the past?

If so, what was your experience?

What are you hoping to get out of Equus coaching?

Why do you feel Equus coaching/equine therapy would be beneficial?

Tell us your story. Why do you think you would be a good candidate for the Heartland Haven Foundation Program.

How did you hear about us?