Equine Assisted Learning & Activities Program (RKMF)

Thanks for your interest in the STAT®️'s Equine Assisted Learning & Activity Program called the EQuine Affect™

The STAT herd welcomes you to equine programming made possible by the Richard King Mellon Foundation (RKMF)

STAT®️ is excited to offer the EQuine Affect™ an Equine Assisted Learning & Activity Program generously funded by the Richard King Mellon Foundation (RKMF) for children and adolescents.

This grant is provided for youth who have diagnosed mental health challenges and disorders, have been or are in foster care, out of home placement, under the care of CYS, live in a group home or RTF, or are currently *receiving public assistance.

*Please note that the $100 STAT applicant application program fee(s) is/are waived for families receiving public assistance. Application fee(s) are due once accepted Into program.

STAT Client Safety Policy:

STAT Inc serves courageous people with special needs and vulnerable populations and does not accept applications for anyone with a history of violent and sexual offenses of any kind including cruelty to animals, Megan's Law, and arson.

By checking the box you acknowledge STAT Inc's safety policy and attest applicant does not have above stated restrictions

Does your child/teen have any of the following: These are the criteria required to apply for the grant based program

Children and adolescents *receiving public assistance
Have diagnosed mental health challenges and disorder
Have been or are in foster care, out of home placement
Under the care of CYS
Live in a group home or RTF

Please Select Your Answer

Yes (one or more above criteria are met)

You will be asked a series of questions

There is a self-pay group class option that will pop up here

Self-Pay Class Program (Not covered under the Grant)

I would like to register my child/teen for the EAL self-pay program

Start date is in October. To Be announced soon.

Check all that apply to your child/teen's circumstances

Agency or Group Home

Child and Youth Services (CYS)

In or Former Foster Care

My child/teen have diagnosed mental health challenges or disorders

Out of Home Placement

*Receiving Public Assistance (SNAP Benefits, Medicaid)

Residential Treatment Facility (RTF)

STAT's EQuine Affect™: Equine Learning and Activities Program (4 Week Program)

STAT Inc provides programming for your child or teen to learn alongside horses and experience connecting with horses and others through structured, fun, and safe activities. Our Team approach includes mental health facilitators to provide emotionally safe ways to learn without the pressure to be perfect and Equine Specialists to ensure physical safety of both people and horses. There are optional mounted exercises in the program that may also include our Certified Therapeutic Riding Instructor. We embrace learning from a growth mindset to try new things and explore solutions with confidence.

The four week class may include topics ranging from:

The EQuine Affect™ provides opportunities to explore emotional intelligence "EQ."

Topics may include self-awareness, motivation, boundaries, empathy, social skills and safety, and mindfulness.

Growth Mindset: lessons based upon the work of Dr. Carol Dweck. to explore Mindset challenges, obstacles, effort, criticism, success of others, and the power of yet.

Is this equine therapy? No, this is not psychotherapy or mental health treatment. It is a learning program that welcomes various learning styles while exploring alongside horses with a growth mindset. Equine assisted learning is often described as a goal directed therapeutic activity.

What to expect after submitting the application:

A Staff member will either call or email you to set up a brief telephone screening to ensure a good fit for the program and answer questions. In some cases, an applicant's need may exceed our programming and we may suggest another agency. Once an applicant is accepted into the program, the guardian will be sent a portal link to set-up an account in STAT's Theranest and electronically sign consent and waiver documents along with program fee payment. You may be asked to complete a satisfaction survey, which helps improve our programs and also demonstrate effectiveness.

Meet Mini Lambert!

STAT's EQuine Affect™: Equine Learning and Activities Program

STAT Inc's EQuine Affect™ includes small groups of 8 students or less or individually. Your child or teen will learn alongside horses and experience connecting with horses and others through structured, fun, and safe activities. Our Team approach includes mental health facilitators to provide emotionally safe ways to learn without the pressure to be perfect and Equine Specialists to ensure physical safety of both people and horses. There are optional mounted exercises in the program that may also include our Certified Therapeutic Riding Instructor. We embrace learning from a growth mindset to try new things and explore solutions with confidence.

The EQuine Affect™ provides opportunities to explore emotional intelligence "EQ" in a six week program based upon the work of Dr. Carol Dweck to explore Mindset challenges, obstacles, effort, criticism, success of others, and the power of yet for a 2-hour group class and 1-hour for individuals.

Is this psychotherapy? No, this is not mental health treatment. It is a learning program facilitated by mental health facilitators who understand neurodivergent ways of learning and exploring with a growth mindset. Equine assisted learning is often described as a goal directed therapeutic activity. Classes will not process trauma or provide mental health treatment, which is why and a brief telephone screening interview is required to ensure a good fit for the program and answer questions. Clients already in mental health care often enjoy the learning program as another support to the work they are already doing with their mental health provider. We are honored to support you!

What to expect after submitting the application:

A Staff member will either call or email you to set up a brief telephone screening. In some cases, an applicant's need may exceed our programming and we may suggest another agency. After an applicant is accepted into the program, the guardian will be sent a portal link to set-up an account in STAT's Theranest and electronically sign consent and waiver documents along with program fee payment*. As part of grant funded programs, we do ask participants to complete various anonymous surveys and inventories, which helps improve our programs and also demonstrate effectiveness.

*Program Fee(s): Once Accepted Into Program

There is a $100 program fee per APPLICANT. However, the fee is waived for families receiving public assistance. Please note, there is a charge of $100 for all programs.

RKMF Grant STAT Program Options

EQuine Affect Program: Group Class or Individual? CHOOSE ONE

EQuine Affect: 6 week: Group Class

8 students or less (2-hours a week)

EQuine Affect 6 week Individual Class

1-hour classes

L.O.V.E.S. 12 week Program (By STAT Staff referral Only)

1-hour classes

STAT's L.O.V.E.S. 12-week Equine Learning Program

This program requires a referral. Please check this box if a STAT Staff member referred you to the L.O.V.E.S. program

Please do not check this box if you were not referred by a STAT Staff member

Your child or teen will learn alongside horses and experience connecting with horses and others through structured, fun, and safe activities that are trauma informed for survivors of sexual trauma and trafficking. Our Team approach includes mental health facilitators to provide emotionally safe ways to learn without the pressure to be perfect and Equine Specialists to ensure physical safety of both people and horses. We provide a trauma informed program to support healthy confections to horses and encourage post-traumatic growth. We will not process the traumatic event(s) but will hold space to teach self-compassion, confidence, and patience.

L.O.V.E.S.

Is this psychotherapy? No, this is not mental health treatment. It is a trauma informed learning program facilitated by mental health facilitators who understand how trauma impacts learning. Together, we provide survivors of trauma opportunities to connect with horses, themselves, and others in an emotionally and physically safe environment. Clients already in mental health care often enjoy the learning program as another support to the work they are already doing with their mental health provider. In some cases, we might recommend an Adjunct Equine Assisted Psychotherapy (AEAP) STAT L.O.V.E.S. program and this is discussed through screening call with the parent or guardian. We are honored to support you!

Trauma Informed Program

What to expect after submitting the application:

After an applicant is accepted into the program, the guardian will be sent a portal link to set-up an account in STAT's Theranest and electronically sign consent and waiver documents along with program fee payment*. As part of grant funded programs, we do ask participants to complete various anonymous surveys and inventories, which helps improve our programs and also demonstrate effectiveness.

*Program Fee(s): Once Accepted Into Program

There is a $100 program fee per APPLICANT. However, the fee is waived for families receiving public assistance. Please note, there is a charge of $100 for all programs.

Meet Buddy!

Requirements:

Must have transportation to and from the barn
If guardians want to stay, they are to remain in vehicles in designed parking area for safety reasons. There is not a "viewing" option.
Wear closed toes shoes

CONNECT

LEAD

RIDE

How did you hear about our equine program?

Please Type Below

Google, School, Participated in another STAT Program, Friend etc.

Program Fee:

There is a $100 program fee

A waiver is provided for families receiving public assistance

Are you currently receiving public assistance? Food Stamps, Medicade

Yes

Families receiving public assistance: Please provide type of public assistance:

Program Fee Waiver

By checking this box you attest that you are receiving public assistance benefits (example: snap benefits, medicade)

$100 Program Fee is Waived

Why is there an application fee? STAT is a charity funded by grants and donations. Grants don't often allow for care-taking costs of horses and providing food and water for humans. Those fees are put towards programming, helping take care of the horses' basic and medical-dental-supplement-farrier needs, providing water and snacks for participants, and supplies for activities for humans and horses. There is an abundance of cost that goes into providing quality equine therapy services. We try to cut every cost possible without ever sacrificing the the quality of care for you and our horses. STAT has dedicated staff who also volunteer their time at no cost to give back to the community. We can't do it without you.

Application Form Info:

First and Last Name of Person Completing this Application

What is your relationship to the applicant?

Child/Teen Applicant Information

First Name

Last Name

Age

Date of birth

Name of School

Current Grade

Teacher's Name

Do you have a second child/teen to add?

Yes No

Child/Teen First Name

Child/Teen Last Name

Age

Date of birth

Name of School

Current Grade

Teacher's Name

Do you have a third child/Teen to add?

Yes No

Child/Teen First Name

Child/Teen Last Name

Date of birth

Age

Name of School

Current Grade

Teacher's Name

Do you have a forth child/teen to add?

Yes No

Child/Teen First Name

Child/Teen Last Name

Date of birth

Age

Name of School

Current Grade

Teacher's Name

Do you have a fifth child/teen to add?

Yes No

Child/Teen First Name

Child/Teen Last Name

Date of birth

Age

Name of School

Current Grade

Teacher's Name

Do you have a sixth child/teen to add?

Yes No

Child/Teen First Name

Child/Teen Last Name

Date of birth

Age

Name of School

Current Grade

Teacher's Name

Parent or Guardian Information

First name

Last name

Relationship to child

Street, City, State and Zip code

Home phone number

Cell phone number

Email address

Name of Agency

Street, City, State and Zip code

Case Worker Full Name

Phone Number

Relationship to child

Email address

Medical History

Does your child (children) have any medical problems? (If you have more than one child: LIST the name of each child with conditions)

Yes No

If yes, please briefly describe

What medications is your child (children) taking (if any) and for what conditions? Include the dosage and amounts.

Does your child (children) have any allergies (medications, environment)?

Mental Health History

Does your child (children) have any diagnosed psychological or mental health problems? (If you have more than one child: LIST the name of each child with conditions)

Yes No

If yes, please briefly describe

Is your child (children) currently in treatment or counseling for psychological problems?

Yes No

If yes, please list Provider's name and for how long

Emergency Contact Information

Is the Same Parent, Guardian, or Agency already listed also the Emergency Contact?

Yes No

First Name

Last Name

Address

Phone Number

Email address

Relationship to Child/Teen

By checking this box you agree to receive an email or phone call to set up a telephone screening interview to ensure program fit. You attest: I have read the requirements and I attest to information provided and agree for a staff member to contact me to discuss participation requirements.

Date

Thank you for your interest!

Your information will be encrypted.

Equine Assisted Learning & Activities Program (RKMF)

Thanks for your interest in the STAT®️'s Equine Assisted Learning & Activity Program called the EQuine Affect™

STAT®️ is excited to offer the EQuine Affect™ an Equine Assisted Learning & Activity Program generously funded by the Richard King Mellon Foundation (RKMF) for children and adolescents.

This grant is provided for youth who have diagnosed mental health challenges and disorders, have been or are in foster care, out of home placement, under the care of CYS, live in a group home or RTF, or are currently *receiving public assistance.

STAT Client Safety Policy:

Does your child/teen have any of the following: These are the criteria required to apply for the grant based program

STAT's EQuine Affect™: Equine Learning and Activities Program (4 Week Program)

The four week class may include topics ranging from:

STAT's EQuine Affect™: Equine Learning and Activities Program

RKMF Grant STAT Program Options

STAT's L.O.V.E.S. 12-week Equine Learning Program

Requirements:

How did you hear about our equine program?

Program Fee:

Application Form Info:

Child/Teen Applicant Information

Parent or Guardian Information

Medical History

Mental Health History

Emergency Contact Information

Thanks for your interest in the STAT®️'s Equine Assisted Learning & Activity Program called the EQuine Affect™

Cat Markosky

STAT®️ Founder & CEO, "Healing with Horsepower" since 2007