---

---

Please complete the information below and click SUBMIT. We will respond back to the email of the primary contact with login instructions to complete the nomination.

*SPAM CONTROL:
Enter this T:4937A here: 

Educational Institution

Tax ID (EIN) (Numbers only - No punctuation):

Contact Name

Contact Phone

Contact Email

Re-Enter Email

Petition and Certifications

•  I certify that I have been granted the authority by the educational institution named in this nomination to submit this nomination and that the representations made in this nomination are, to the best of my knowledge, truthful and accurate. I further certify that I will notify the EQUUS Foundation in writing if any of the statements affirmed in this nomination become untrue or inaccurate.
•  I certify that the educational institution named in this nomination provides or conducts real services, benefits, assistance, or program activities in the United States related to horse welfare, or involving horses to benefit the public.
•  I certify that the educational institution named in this nomination conducts publicity based upon its actual programs and operations, and that these activities are truthful and non-deceptive, include all material facts, and make no exaggerated or misleading claims.
•  I certify that the educational institution named in this nomination does not discriminate on the basis of race, religion, creed, national origin, disability, handicap, age, sexual orientation, marital status, veteran status, or any other basis prohibited by law.

Name of Authorizer (This acts as your signature)

Job Title of Authorizer

Email of Authorizer

SUBMIT

Please be patient while the information is being gathered.
The more you click, the longer it will take.
You will receive a message when the submission is complete.