General Interest Volunteer Form

Person managing this application (your initials and date and action taken)

Check one:*

new volunteerreturning volunteerreturning volunteer, but it's been longer than 2 years: Please fill out all fields

Please check one:*

Adult (18+)Youth (15-17)

So, how did you find out about Strong Tower Ranch?

I would like to receive news about STR throughout the year, including the regular email newsletter. Please sign up on our website, strongtowerranch.org.

Date of Application: (automatic; do not change)

MonthDayYearHourMinutesAM/PM Option

Area of Interest -- Check all that apply.*

Please share with us the amount of time you would like to invest as a volunteer. Suggestions: occasional, summer, year round, weekly, monthly, etc.

Please help us get to know you with a portrait of yourself (Optional)

Legal Name*

PrefixFirst NameMiddle NameLast Name

Name you go by if different from name above:

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone - Best number to reach you (cell, landline)*

Area CodePhone Number

E-mail*

Please share your work experience.

0/500

Please share your education or training. If you would prefer to serve in a capacity other than what you have been trained in, please note that.

Name of Reference (not a relative)*

First NameLast Name

Phone Number*

Area CodePhone Number

Email*

example@example.com

Name of additional Reference (can be a relative)

First NameLast Name

Phone Number

Area CodePhone Number

Email

example@example.com

Name of Church you attend*

Phone Number of church you attend*

Area CodePhone Number

Name of Pastor or church leader who knows you*

First NameLast Name

Email

example@example.com

Number of years attending this church*

(less than a year, 20 years, etc.)

Please share with us your relationship with Jesus Christ.*

If someone asked you how one becomes a Christian, what would you say?*

All adults (18+) must have a background check if working with or around children. Do you give STR permission to perform a background check? Name(s), address(es), and SS# are required to do this.*

Yes, I give STR permission to perform a background check on me.No, I do not give permission for STR to perform a background check on me.Please call me.I'm a youth (15-17 years old) and do not require a background check

Date of Birth (For adult background check and appropriate youth placement)*

MonthDayYear

If yes, have you lived your entire adult life in Missouri?

YesNo

If you checked No for living in Missouri your entire adult life, have you lived out of the state since you last served with STR or in the last year? Choose yes or no. And if you were enrolled as a college student living on campus/in housing for school, choose college.

yesnocollege

Social Security #

What type(s) of experience do you have?

WesternEnglishHunter/JumperBarn chores

How many hours of experience?

How comfortable are you with catching a horse?

not at allwilling & ablevery comfortable

How comfortable are you with tacking a horse?

not at allwilling & ablevery comfortable

How comfortable are you with riding a horse?

not at allwilling & ablevery comfortable

Please choose the option that best says how you would like to serve.

I would enjoy working with campers & horses as well as barn chores.I would prefer working only with horses & barn chores.

Horsemanship/Equine Safety

I understand that I must give specific consent for participation in horsemanship activities. I understand that it can be dangerous and I agree to have STR provide an equine safety helmet, and that I have read and understand the following Missouri Equestrian Liability Law:

Under Missouri law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to the Revised Statutes of Missouri (Missouri Revised Statutes, Section 537.325)

Type initials of adult volunteer or of parent of youth volunteer to consent to Equine release:*

STR Liability Waiver

Strong Tower Ranch hereinafter referred to as STR requires the consent of any attendee or participant in any activity of or related to STR programs. I acknowledge that participation in any program or activity at Strong Tower Ranch involves risk and could involve rigorous physical and or emotional challenges as well as exposure to natural elements of weather, lake activities, insects and animals. STR takes reasonable precautions to ensure a safe camp experience. While unlikely, risks associated with participation in STR activities range from minor bruises and scrapes to severe and potentially paralyzing injuries, including death. I hereby assume all risk associated with these activities and the use of the facilities at STR, I agree to hold harmless and indemnify STR, its employees, staff and other volunteers and release and forever discharge them from all liability, causes of action, suits, damages, claims, or demands of any nature which may arise in connection with participation in any program or activity affiliated with STR.

If horseback riding is an option, I understand that I must give specific consent that I understand that it can be dangerous, that I agree to have STR provide an equine safety helmet, and that I have read and understand the following Missouri Equestrian Liability Law:
Under Missouri law, an equine professional is not liable for an injury to or the death of a participant in equine activities resulting from the inherent risks of equine activities, pursuant to the Revised Statutes of Missouri (Missouri Revised Statutes, Section 537.325)

In the event of an emergency, I give consent for STR to secure from any licensed hospital, physician or other medical personnel, any treatment deemed reasonable and necessary for myself or my child/ward (the above named volunteer) for immediate care and agree that I will be responsible for payment for such treatment rendered.

Your name below represents that you have read and agree with this information.

Name of volunteer or parent of volunteer - signature for liability waiver*

First NameLast Name

In the event of an emergency, I give consent for STR to secure from any licensed hospital, physician or other medical personnel, any treatment deemed reasonable and necessary for myself or my child/ward (the above named volunteer) for immediate care and agree that I will be responsible for payment for such treatment rendered.

YesNo

Primary Emergency Contact*

First NameLast Name

Primary Emergency Contact Phone (day time)*

Area CodePhone Number

Secondary Emergency Contact

First NameLast Name

Secondary Emergency Contact Phone

Area CodePhone Number

List any allergies, medications, medical or other conditions which would be important for emergency medical treatment and volunteer placement:*

Statement of Faith

I have read, understood, agree with and will not teach anything contrary to the STR Statement of Faith. (Type your full name)*

Child Protection Policy

I have read and will abide by the STR Child Protection Policy. (Type your full name)*

Code of Conduct

I have read and will abide by the STR Code of Conduct. (Type your full name)*

I give permission for any picture, video or audio recording of me to be used for promotion of STR in print or online or social media. If No, understand it is your responsibility to inform the photographer of your wishes.*

YesNoPlease contact me

STR desires for each volunteer to love God and love their neighbor as themselves showing leadership and respect. STR reserves the right to dismiss any volunteer/staff whose influence is detrimental to the operation of the camp, as determined by the STR leadership.

Thank You! Now just click Submit. You do not have to print the form. You will receive a copy of the information at the email address listed above. We receive your information automatically when you click "Submit".

General Interest Volunteer Form

Personal Information

References

Background Check

Horsemanship Volunteers

Emergency Information

Policies

Thank you for taking the time to help us get to know you.