Volunteer Interest and Information
Name
*
First Name
Last Name
Do you have a preferred nickname?
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Do you have any certifications or skills? Please list
*
Occupation
*
Please select all that interest you
*
Animal Care
Equipment care & cleaning
Barn Chores
Grounds Care
Therapy Riding Program Assistance (includes horse leading or side walking)
Grant Writing
Clerical Assistance
Facility Maintenance Assistance
Please mark all that apply for Feeding Availability
*
Week day mornings
Week day afternoons
Weekend mornings
Weekend afternoons
Previous Horse Experience
Our equestrian volunteers are a vital part of the program. Please give us information on any past equine experience. YOU DO NOT HAVE TO HAVE ANY PAST EXPERIENCE TO VOLUNTEER.
Do you have any physical limitations? Please specify (write N/A if none)
*
Can you walk for 30 minutes and jog for short distances?
*
Given a chance to change sides frequently, can you hold your arms above shoulder height and support modest weight?
*
Are you comfortable working or walking around horses/ponies?
*
Do you have experience with horses/ponies? Please specify
*
Have you had any riding experience? Describe
*
Have you had any previous experience working with children? Please explain
*
Have you have any previous experience working with children or adults with special needs? Please explain
*
I certify by signing this that all information is true and filled out to the best of my ability
*
Date
*
-
Month
-
Day
Year
Date
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