Volunteer Application

Name

First NameLast Name

Date

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Volunteer Start Date:

Date

Date of Birth

Date

Please list previous volunteer experience:

Do you have a transportation?

DL State, Class, + Number

Are you currently in school?

If you are currently a student, where do you attend school?

What grade and major:

Highest Level of Education

Educational, Professional, or Technical degrees completed:

EMPLOYER: Please list most recent employment history, job title and duties, length of employment:

REFERENCES: Please list two references and include name, phone number, email and relationship to you (required)

How did you hear about haven?

What are your intentions for your experience at haven?

Please describe your horse experience:

Do you have any special skills that would be helpful to haven?

Do you have any physical limitations?

PLEASE READ CAREFULLY BEFORE SIGNING
I certify that all information provided in this volunteer application is true and complete. I
understand that any false information or omission may disqualify me from further consideration,
and may result in my dismissal if discovered at a later date. I authorize the investigation of any
or all statements contained in this application. I also authorize, whether listed or not, any
person, school, current employer, past employers and organizations to provide relevant
information and opinions that may be useful in making a hiring decision. I release such persons
and organizations from any legal liability in making such statements. I understand I may be
required to successfully pass a drug screening examination. I hereby consent to a pre- and/or
post-volunteering drug screen as a condition of volunteering, if required.

I UNDERSTAND THAT THIS APPLICATION OR VERBAL STATEMENTS BY
MANAGEMENT DO NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF
VOLUNTEERING NOR GUARANTEE A VOLUNTEER POSITION FOR ANY DEFINITE
PERIOD OF TIME. I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF HAVEN

BY CAMPISE FARMS AND MAY BE DISMISSED AT ANY TIME, WITH OR WITHOUT
REASON AND WITH OR WITHOUT NOTICE.

I have read and I understand the statements above. With my signature below, I consent to
these statements.

Volunteer's Signature

Date