Volunteer Application
Full Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is the best way to reach you?
Text
Phone Call
Email
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Volunteer Roles of Interest
i.e. Mentor for Participants, Horse Care Team, Ranch Maintenance, Event Support
I am interested in the following team/s (you may select more than one).
Program Team: Assisting with sessions
Barn Chores Team: Feeding Horses, Cleaning Stalls, Moving Horses to barn and pastures
Property Maintenance Team: General upkeep and maintenance of barn and property
Prayer Team
Special Events
Other
Are there any skills or experiences that you wish to bring to your volunteer role?
(Teaching, construction, horse experience, etc)
How did you hear about us?
Website
Physician/Therapist
Friend
Media
Client Referral
Other
Why are you interested in serving as a volunteer at Eirene Ranch?
Availability
What days of the week are you available to volunteer?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Preferred time of day:
Morning
Afternoon
Evening
How often would you like commit to volunteering?
Weekly
Monthly
Occasionally
Background Information
What is the name of your local church, if any?
What other local charities or Not For Profits are you actively involved in, if any?
Are you currently employed? What is your occupation?
Do you have a valid driver’s license and vehicle?
Yes
No
Do you have a vehicle?
Yes
No
Have you ever been convicted of a crime?
Yes
No
If yes, please explain.
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Emergency Contact
Full Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Relationship
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Acknowledgment and Signature
I understand that this is an application for and not a commitment or promise of volunteer opportunity. I certify that I have and will provide information throughout the selection process, including on this application for a volunteer position and in interviews with the Eirene Ranch that is true, correct and complete to the best of my knowledge. I certify that I have and will answer all questions to the best of my ability and that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position.I understand that information contained on my application will be verified by the Eirene Ranch. I understand that misrepresentations or omissions may be cause for my immediate rejection as an applicant for a volunteer position with the Eirene Ranch or my termination as a volunteer.
I understand.
By selecting "I have read and agree to the terms of the Volunteer Confidentiality Agreement" below and providing your digital signature, you acknowledge that you have read, understood, and agreed to the terms of the Volunteer Confidentiality Agreement. This agreement is legally binding and serves to protect sensitive information related to Eirene Ranch Inc. Failure to comply with the confidentiality terms may result in removal from volunteer activities and/or legal action. If you have any questions regarding this agreement, please contact Eirene Ranch before proceeding.
I have read and agree to the terms of the Volunteer Confidentiality Agreement.
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