Online Application Step 1 of 8 12% Equal Opportunity Policy: It is the policy of the American Society of Equiine Appraisers to recruit qualified personnel without discrimination because of Race, Color, Religion, Age, Sex, National Origin, or Handicapped condition and to give no preferential treatment to any applicant.Name(Required) First Middle Last Home Address(Required) Street Address Address Line 2 City State 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 ZIP Code Cell PhoneBusiness PhoneFax NumberEmail(Required) Enter Email Confirm Email Mailing Address(Required) Street Address Address Line 2 City State 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 ZIP Code Do you have a valid driver's license?(Required) Yes No Number(Required) State(Required) Date of Birth(Required) MM slash DD slash YYYY Expiration Date(Required) MM slash DD slash YYYY Do you have any relatives associated with this society?(Required) Yes No If yes, please explain.(Required) STATEMENT OF HEALTHDo you have any physical condition which may limit your ability to perform an appraisal?(Required) Yes No If yes, please explain.(Required)PERSONALHave you ever been expelled from or given an official reprimand by a professional organization or been convicted of a felony related to business practices or ethics?(Required) Yes No If yes, please elaborate. (Please email [email protected] with a separate statement if necessary.)(Required)Have you ever been convicted of a felony?(Required) Yes No If yes, please elaborate. (If you have been convicted of a felony, the nature of the felony and the length of time since conviction will be important considerations. If you have been convicted of a felony, you will not be automatically disqualified, and you will be given the opportunity to explain any convictions that may adversely affect membership.)(Required)List professional organizations, special interests, or hobbies. EMPLOYMENT DATA Please list employment for the last 10 years, beginning with the last or present job.Company Name Address Street Address Address Line 2 City State 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 ZIP Code Job Title Supervisor Specific Duties PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Reason for LeavingCompany Name Address Street Address Address Line 2 City State 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 ZIP Code Job Title Supervisor Specific Duties PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Reason for LeavingCompany Name Address Street Address Address Line 2 City State 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 ZIP Code Job Title Supervisor Specific Duties PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Reason for LeavingCompany Name Address Street Address Address Line 2 City State 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 ZIP Code Job Title Supervisor Specific Duties PhoneStart Date MM slash DD slash YYYY End Date MM slash DD slash YYYY Reason for Leaving If your Equine Experience is not shown in your employment record please include a brief explanation of your experience with horses.SCHOOLS ATTENDEDHigh School Last Grade Completed Address City State 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 Community College Last Grade Completed Address City State 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 Major Degree College or University Last Grade Completed Address City State 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 Major Degree Trade School or Apprenticeship Last Grade Completed Address City State 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 Major Degree PERSONAL REFERENCES Give four references, not relatives, who can vouch for your ethics, credibility and competence. (Be sure to include complete addresses, including zip code and fax number if available.)References(Required)To add more references, click on [+] to the right of the fields.NameAddressCityStateZIPPhoneFax Add Remove Please list the horse breeds that you have actual experience with, not just a knowledge of:To add more breeds, click on [+] to the right of the fields. If none, skip step. Add RemoveList the disciplines (Western, Pleasure, Barrel Racing, Eventing, Dressage, etc.) that you have actually participated in:To add more, click on [+] to the right of the fields. If none, skip step. Add RemoveAre you willing to travel?(Required) Yes No If yes, how far?(Required)Answer in miles. Do you have any other business interests that could compliment membership in this society?(Required) Yes No If yes, please explain.(Required) ASEA Code of Ethics The appraiser shall achieve and maintain a high level of competence, shall keep him or herself informed as to all matters involving or affecting equine values, and shall accept only those assignments for which he/she has the necessary background and qualifications. An appraisal assignment is a confidential undertaking between the appraiser and his/her client. No information regarding the appraisal assignment shall be disclosed to any third party without the express consent of the client. Although an appraiser may express an informal or preliminary opinion as to the value of equine, he/she shall not do so until after he/she has obtained all of the pertinent facts and given them due consideration. All information appraisal reports shall be in writing, shall be signed and dated by the appraiser, and shall include the following as a minimum: A statement of the purpose for which the appraisal was made and a definition of the value estimated. A description of the equine being appraised. A summary of the facts upon which the appraisal is based. A statement of the conclusions reached, together with any applicable qualifications or limitations on the conclusions. A statement of the assumptions and conditions applicable to the appraisal and to the conclusions reached. A statement that the appraiser has no present or contemplated future interest in the equine being appraised, or a full and complete description of any such interest that may exist. The engagement to perform an appraisal and the fee charged shall be independent of the value reported. In the conduct of his/her practice, the appraiser will at all times observe both the letter and the spirit of applicable laws, regulations, and good professional practices. Consent(Required)By entering my name, date, and email address in this online form, I hereby certify that I have read and understand the CODE OF ETHICS and agree to abide by them. Once your Code of Ethics is submitted, you will be transferred to the secure payment page. I agree to the ASEA Code of Ethics. Please Read Before Submitting:(Required)If you have any questions regarding the following statement, please ask them of a society representative before submitting. I authorize my previous employers, (please contact the Association Headquarters if you do not want to have your current employer contacted.) schools or persons named as references to give any information regarding my employment or educational record. I agree that my previous employers shall not be held liable in any respect if a membership is not tendered, is withdrawn or my membership is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. (In the event my membership with the American Society of Equine Appraisers is accepted, I will comply with all of the rules and regulations as set forth in this, or other communications distributed to all members.) I certify that all statements made by me on this application are true and complete to the best of my knowledge and that I have withheld nothing that would, if disclosed, affect this application unfavorably. I hereby acknowledge that I have read the above statement, that I understand the same, and that I agree to abide by all codes, regulations, and requirements of the ASEA. I agree.Membership Fee:(Required) Price: Total: Please select a payment method (PayPal or credit card) in the dropdown below:Select Payment Method(Required) Pay with Credit Card Pay with PayPal Credit Card(Required) Payment Method(Required)PayPal Checkout American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name CAPTCHA