AQHA PROFESSIONAL TRAINERS & CLINICIANS DIVISION

Transcription

1 AQHA PROFESSIONAL TRAINERS & CLINICIANS DIVISION Name:... Phone:... Mobile: AQHA Membership #:... Number of years as a Member.. Licence No:... DOB:... AQHA PROFESSIONAL TRAINERS & CLINCIANS DIVISION CODE OF ETHICS We, the members of the AQHA Trainers & Clinicians Division, in carrying out our role of providing service to the AQHA industry, recognize the need to do so in a professional manner, and to deal with the public and our colleagues with the highest degree of integrity. Therefore, we have set forth the following creed which shall govern our endeavours to fulfil our obligations: To adhere to the professional standards of the Australian Quarter Horse Association and to work to further its goals and objectives. To ensure that the welfare of the AQHA is paramount and that every horse shall, at all times, be treated humanely and with dignity, respect and compassion. To monitor show grounds for inhumane treatment and for two (2) members of this Division to discuss unacceptable training or inhumane treatment with the offenders on site. To conduct all business affairs with integrity, sincerity and accuracy in an open and forthright manner. To act with integrity in financial dealings with clients, other professionals and the public. To handle our business and operations in a manner, which promotes the image of the Australian Quarter Horse industry. To instil confidence among clients and the public in the Australian Quarter Horse industry, avoiding any action conducive to discrediting it or membership of the Australian Quarter Horse Association. By signing this application, I agree to be bound by the rules of application and the Code of Ethics of the AQHA Professional Trainers & Clinicians Division. I understand that in order to participate in this program, I must maintain a continuous individual Full membership with the AQHA. The undersigned does hereby waive any rights he/she may have to require disclosure to him/her by the Association of any information obtained to evaluate him/her as an applicant for the Division, agreeing that the accuracy of information concerning the undersigned s character, reputation and horsemanship abilities is paramount to his/her disclosure rights, if any. Applicant Full Name:... Applicant Signature:... Date:...

2 TRAINER APPLICATION I,., a Horse Trainer, AQHA Membership: hereby nominate:. to be accepted as a member of good standing into the AQHA Trainers & Clinicians Division. Trainers Signature:. Seconded by: AQHA Membership:. Signature of Seconder (Trainer): CLINICIAN APPLICATION I,., a Horse Trainer/Clinician, AQHA Membership: hereby nominate:. to be accepted as a member of good standing into the AQHA Trainers & Clinicians Division. Trainer/Clinician Signature:. Seconded by: AQHA Membership:. Signature of Seconder (Trainer/Clinician):

3 YEARS OF OPERATION Years as a trainer:... Years as a riding instructor:... Years at current location:... If less than two years, list previous location: Address: MEMBERSHIPS (mark accordingly) AQHA Affiliate Membership Number:... Years of Membership:. NCHA Number:... Reining Australia Number:... Dressage Federation Number:... EA Number:... National Reining Cow Horse Association Number:... National Snaffle Bit Association Number:... American Quarter Horse Association Number:... Other... JUDGES CARDS (if held mark accordingly) AQHA Date achieved:.. Equestrian Federation NCHA NRHA HSAA Other... REFERENCES these referees will be contacted by the AQHA CLIENT Name:... Phone:...

4 CLIENT Name:... Phone:... CHARACTER REFERENCE Please attach a written character reference from a person who has known the applicant for the last five (5) years. SERVICES OFFERED (tick all that apply) Preparation & conditioning for sales Boarding Mare care/foaling services Artificial Insemination Frozen/Cooled semen Embryo Transplant Horse shoeing Breaking in Clinics Private lessons Other:. TRAINING HORSES/CLINICS AT: National Level Affiliate Level Youth Amateur Open Western - Trail Reining Cutting Halter Western Riding Cow Horse Timed events Pattern classes Western Pleasure Campdraft/Team Penning Other... English - Hunter Under Saddle Jumping/Fences Pattern classes Dressage Hack Eventing Other...

5 Lessons - Beginner Intermediate Advanced Handicapped Riding Any Other Services (please specify)... COPIES REQUIRED OF THE FOLLOWING TO ACCOMPANY THIS APPLICATION LICENCE (front and back) First Aid Certificate - OH&S Equine based qualification - Working with Children Check Any other Educational qualifications you have achieved that you feel may be relevant to your application, please attach a copy. I hereby declare that all the information supplied in, and with this application, is true and correct, Name of Applicant (please print) Signature Date:...