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Farm Volunteer Worker Application Form
Esperanza's Second Chance Sanctuary
Application Date
-
Month
-
Day
Year
Date
Type of volunteer work
Please list all things you are comfortable doing.
Personal Information
Name
First Name
Last Name
Age
If you're below 18 years old, you need a parental consent form.
We aim to respect and appreciate you
We would like to ensure we do not misgender you or create an environment where you feel uncomfortable with being your authentic self. These questions are voluntary and just help us to ensure we address you properly.
Please let us know what pronouns you prefer us to use.
Are you neurodivergent? If so please let us know if there are things we can do to better support you.
Date of Birth
-
Month
-
Day
Year
Date
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
Emergency Contact Details
Emergency Contact Person
First Name
Last Name
Emergency Contact Person Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to the Applicant
Volunteer Questions
Why do you like to volunteer?
Do you have experience in taking care or handling animals?
Do we have your permission to take photographs and or videos of you for advertising and marketing purposes?
Yes
No
Do you have an updated immunization for Tetanus and Covid19?
Yes
No
If no are you willing to get vaccinated or wear a mask when within 6 feet of another person or pig and sign a waiver?
Availability
Rows
Morning
Afternoon
Night
Total Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Total number hours per week
Do you have any medical condition that can affect your volunteer activities? If yes, please indicate them below:
Please tell us of any special skills or knowledge you have that you would like to utilize in helping us with our mission.
Do you have any allergies? If yes, please identify them below:
Are you currently taking any medications? If yes, please list them below. This is asked as some things we use with the animals can interact with medications we humans take, it is also used in case we need to call 911 to help them treat you as best as possible.
Were you convicted of any offense? If yes, please indicate them below:
Please list any animals or tasks you are not comfortable with.
References
References please provide at least 2.
Applicant’s Signature
Date Signed
-
Month
-
Day
Year
Date
Submit
Should be Empty: