BRANDED PARTNERSHIPS TRAINER APPLICATION Branded Partnerships Trainer Application Personal InformationTrainer Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Physical Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Is your mailing address different from your physical address?(Required) Yes No Mailing Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Trainer Phone(Required)Is this the phone number you would like listed on the trainer locator?(Required) Yes No What alternate phone number would you like listed on the trainer locator and with your horse/burro listings?Email(Required) Is this the email you would like listed on the trainer locator?(Required) Yes No What email do you want in the the trainer locator and to accompany any horse/burro listings? Driver's License Number(Required)General QuestionsPlease answer all questions as completely as possible. How long have you trained horses/burros?(Required)Have you ever been accused or convicted of animal or human abuse, neglect, or cruelty?(Required) Yes No Since you answered "yes" to the question above, please describe the circumstances surrounding your accusation or conviction.Have you ever been accused or convicted of a felony?(Required) Yes No Since you answered "yes" to the question above, please describe the circumstances surrounding your accusation or conviction.Have you ever or do you currently receive compensation for training horses/burros, working with equine clients, etc.?(Required) Yes No Please describe the nature of your work.Have you ever trained a wild horse or burro you or someone else adopted/purchased directly from the Bureau of Land Management (BLM)?(Required) Yes No Note: If you only have experience working with wild horses or burros that have already been handled or trained, please answer "no."Please describe your experience.Please describe your equine training experience, if any.Do you have any equine related licenses or certifications?(Required) Yes No What equine related licenses or certificates do you have?Do you have an active and approved adoption application with the BLM?(Required) Yes No Do you currently have untitled BLM wild horses or burros on your property?(Required) Yes No Note: You must disclose ALL untitled animals on your property, whether they belong to you or someone else. How many untitled animals are currently on your property?Note: You must disclose ALL untitled animals on your property, whether they belong to you or someone else. Please describe your equine experience (training, riding, competing, etc.).(Required)Why do you want to be a Branded Partnerships trainer?(Required)Do you understand that by enrolling as a Branded Partnerships trainer, you are required to have the horse or burro in training for a minimum of 30 days and prove, through video, that the animal can be caught, haltered, brushed, led, have their feet picked up, and load in and out of a trailer, and that these tasks must be completed by someone other than the trainer BEFORE the animal can be offered for adoption?(Required) Yes No Do you understand that as a Branded Partnerships trainer, you are required to participate in the Safe Landing Policy, allowing adopted horses to be returned to you for up to 30 days following adoption?(Required) Yes No Branded Partnerships trainers are required to participate in a return policy of at least 30 days to all adopters/ purchasers (trainers may opt to extend this timeline when communicating with adopters/purchasers if they desire). This policy is to ensure a safe landing for all animals graduating the Branded Partnerships program that may not adequately transition into their new home. Adopted Horses/Burros: Horses and burros that are returned to the original Branded Partnerships trainer will be reassigned to the trainer at a cost of $25 (paid by the adopter to the BLM). The Branded Partnerships trainer can then continue the training of that animal and offer them for adoption at the standard BLM fee plus their chosen training fee. Forever Branded will assist in the placement of these animals via the Branded Partnerships Portal listings. Trainers are responsible for providing Forever Branded photos, video and information of/about the animal to populate these listings. Sale Authority Horses/Burros: Horses and burros that are returned to the original Branded Partnerships trainer will be done so at no cost to the trainer (meaning the original buyer of the animal may not charge the trainer a fee to take the horse/burro back into their care for rehoming). The Branded Partnerships trainer may then continue the training of that animal and offer them for sale at their chosen training fee. Forever Branded will assist in the placement of these animals via the Branded Partnerships Portal listings. Trainers are responsible for providing Forever Branded with photos, video and information of/about the animal to populate these listings.Do you understand that as a Branded Partnerships trainer, you are required to offer at least 10 follow -up lessons with the adopter/purchaser?(Required) Yes No Branded Partnerships trainers are required to offer up to 10 follow-up lessons with the adopter/ purchaser, either in person or by video, for a fee of no more than $40/each (paid to the trainer by the adopter). It is up to the adopter to accept this offer of assistance or not. The goal of these lessons are to ensure a successful transition and partnership between the horse/burro and their new adopter/purchaser.Do you understand that as a Branded Partnerships trainer you are required to host at least 1 educational clinic for the public/new adopters each calendar year?(Required) Yes No Branded Partnerships trainers are required to host a minimum of 1 educational clinic for the public/ new adopters each calendar year. These may either be done in person or via an online channel of the trainer’s choice. Fees are to be determined by the trainer and paid directly to the trainer by the participants, however fees shall not exceed $250/participant or $75/auditor. The goal of these clinics should be to offer opportunities for new or interested adopters to learn new or advance their horsemanship skills in order to improve long-term placement of wild horses and burros.Do you understand that as a Branded Partnerships trainer you are required to commit to training a minimum of 4 animals per year?(Required) Yes No Branded Partnerships trainers are required to commit to training a minimum of 4 horses/burros per year. Failure to take on at least 4 animals per year will result in review and possible non-renewal of trainer's contract for the following year.Facility QuestionsHave you reviewed and do you currently have existing BLM-approved housing that meets the criteria for unhandled, adult horses?(Required) Yes No You can review the requirements on the BLM website: https://www.blm.gov/sites/blm.gov/files/wildhorse_adoption_requirements_0.pdfDo you understand that as part of this application process, you will be subject to either an in-person or video walk-through to prove your facility meets the current BLM requirements prior to approval and enrollment in Branded Partnerships?(Required) Yes No Will the animals in training with you be housed/trained at the physical address provided above?(Required) Yes No Address Where Animals Will be Housed/Trained Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code What are the dimensions of the corral where the animal(s) will be housed?(Required)Please include ALL of the following to expedite your application: Length and width of the corral, height of the fencing, height and width of the gate.What materials are used in both the corral and gate construction?(Required)What are the dimensions of the shelter where the animal(s) will be housed?(Required)Please include ALL of the following to expedite your application: Length and width of shelter, maximum and minimum height of the shelter, gate height and width (if applicable). What materials are used in shelter construction?(Required)Please include the materials of the gate as well, if applicable.Is the shelter attached to the corral?(Required) Yes No Since you answered "no" above, how is the shelter accessible from the corral?Please include any particulars related to the dimensions of the connection as well as the materials used.Please describe what type of forage (hay) you plan to feed and how much per day per animal.(Required)Do you plan to supplement with grain or any additional feed or additives?(Required) Yes No What type of grain, supplements, or additives do you plan to use and how much per animal per day?Please describe the access the animals will have to water.(Required)To expedite your application, please include ALL of the following: Capacity/volume of water available to the animal(s) at any given time, whether this is an automatic waterer or not, whether this is well or city water.Please provide the details of the trailer that will be used for picking up wild horses and burros for the Branded Partnerships program.(Required)To expedite your application, please include ALL of the following: Brand, animal capacity, stock/slant/other (if other, please describe), interior height/width/length, roofing material, single or double rear door, ramp (yes/no), rear door height (full, 3/4, 1/2, etc.). Please upload/attach written/drawn directions of how to reach the facility where the animals will be housed.(Required)Accepted file types: jpg, png, pdf, doc, heic, Max. file size: 50 MB.Please upload/attach a detailed drawing/map of the facility and corral where the animals will be housed.(Required)Accepted file types: jpg, png, pdf, doc, heic, Max. file size: 50 MB.ReferencesPlease provide contact information for 3 references who are not family members and can speak to your ability to train and care for wild horses and/or burros and carry out the responsibilities of being a Branded Partnerships trainer with integrity and success. Reference #1 Name(Required) First Last Reference #1 Phone(Required)Reference #1 Email(Required) Reference #2 Name(Required) First Last Reference #2 Phone(Required)Reference #2 Email(Required) Reference #3 Name(Required) First Last Reference #3 Phone(Required)Reference #3 Email(Required)
