Microsoft word - document3

Earlham College Equestrian Program
Horse Application
NOTE: No horse will be discriminated against based on how these questions are answered. These questions are asked so that Barn
Staff may gain a better feel of how your horses will fit into our program and also to make you, the owner, better aware of how our
Equestrian Program works. We do ask that you not send us a completed application until you have been accepted and
confirmed your spot at Earlham.
We look forward to reading your application!
About You
Name: Contact info: 1. Why did you choose to come to Earlham College? 2. Why would you like to be a member of the Earlham Barn Co-operative? 3. What discipline do you ride? How long have you been riding? 4. Have you been involved with Pony Club, 4-H, NAHRA, or any similar organizations? Please describe your level of involvement. About Your Horse
1. What kind of situation is your horse living in? (Please include stall size, # of stalls per barn, acreage, turnout hours, and any other pertinent information.) 2. Who runs the barn where your horse is currently stabled? Our barn is completely student run; we do not have any paid professionals. 3. Describe the blanketing/turnout sheet requirements for your horse. Also indicate if your horse requires other “gear” while turned out, i.e.: grazing muzzle, bell boots, etc. 4. Describe the various horsepersons who have handled your horse, and their equine backgrounds. Who currently handles your horse the most on a daily basis? You, your trainer, etc.? Horse Health

1. What is your horse’s health history? (Please include illnesses, injuries, regular vaccination schedule,
de-worming schedule and de-wormers used, and any other pertinent information). The barn's vet
performs all our vaccinations in the fall and the spring based on what the owner wants. We have a worming program that rotates Ivermectin, Fenbenzadole, and Pyrantel Pamoate. If you do not want your horse wormed by barn staff, you may choose to purchase wormer from us at a reduced price or on your own. 2. What kind of hay does your horse eat? We provide a choice of either alfalfa/grass mix or grass hay. 3. What kind of feed is your horse currently on (and how much)? This semester we will be offering Tindle Trails brand sweet feed (12% protein), Patriot brand forage-based feed (a 12% protein, pelleted feed), and Progressive brand senior horse feed (also a 12% protein, pelleted feed). If you purchase supplements for your horse, those will be fed at normal feeding times. If we do not provide the feed you need, boarders are welcome to purchase their own feed.
4. Describe any vices your horse currently has, such as cribbing, wood-chewing, etc.
Horse History

Please give a summary of your horse’s past history (to your best knowledge). Where did you
purchase him/her? Explain any pertinent details and information. It is important to us to know if a
horse has come from an abusive or neglectful situation in the past so that we can be aware of that in terms of placing the horse
Horse Behavior

1. Describe how your horse stands for the farrier, including how he/she stands in crossties for the
farrier. If not or if he/she does not stand well for the farrier, are you prepared to hold said horse for the farrier? Our farrier comes every 3 weeks so rotations get done every other time. Therefore, horses are generally done every 6 weeks. 2. How long does your mare/gelding get turned out for? Daily? What breed/age/gender does your horse go out with? Our horses go out at approximately 7am and are turned in around 5pm every day. There are a variety of herd dynamics. 3. Is your horse a leader or a follower? Where does your horse fit into the pecking order of any 4. How tall is your horse? We have 25 box stalls that are 12x12 in dimension. 5. Please add any other information about you or your horse that you consider relevant and significant. Okay, that’s it, but if you have any questions, you can contact us at You can also send in your completed horse application to this e-mail address. Good luck, and we look forward to meeting you in the fall!


Microsoft word - aadis-srvy

Adolescent Alcohol and Drug Involvement Scale (AADIS) Version) COVER SHEET--TO BE COMPLETED BY STAFF Do not give this cover sheet to respondent Name ID#______________________ DOB Date ______________________ Age: ______ Sex: 1. Male 2. Female Ethnicity: 1. African American 3. Caucasian/European American 4. Hispanic 5. Native American Indian


References Ambrosini A, de Noordhout A und Sandor PS and Schoenen J (2003): Electrophysiological studies in migraine: a comprehensive review of their interest and limitations. Cephalalgia causes high intensity dependence of auditory evoked cortical potentials in migraine. Brain 126, 2009-2015 Ashina M, Bendtsena L, Jensena R, Schifterb S and Olesen J (2000): Evidence for increased plasma l

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