Kids@Union Chapel Volunteer Application

Legal Name*

First NameLast Name

Phone Number*

Date of Birth*

MonthDayYear

My current age is:

E-mail*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

T-Shirt Size*

Would you like to receive a copy of our volunteer handbook via email? All Approved volunteers will be given a hard copy at the Orientation.*

Do you have experience with horses?*

Please explain in detail your experience with horses:*

Do you have experience working with young children? *

Please explain in detail your experience with young children:*

Day or Days of the Week You Would Like to Volunteer:*

Tuesday, 5:00-6:00 pmSaturday, 10:00 - 11:00 am

How Often Would You Like To Volunteer:*

Every WeekEvery Other Week

Are you able to make it to a Volunteer Orientation on Saturday, September 5 at 10:00 AM at the Ranch?*

If you are not able to attend the Orientation, is there another date and time that would work for you?

Do you have transportation to and from the ranch?*

List Any Leadership/Volunteer Experience You Have Had:*

List Any Training, Education or other Gifts That Have Shaped You To Be a Good Volunteer for Jr. Wranglers*

Have You Ever Been Accused, Charged With, or Alleged to Have Committed Any Act of Neglect, Abuse, or Molestation Against A Minor? If Yes, Explain in Detail, Providing Date and Place of Incident:*

Any volunteers over the age of 18, must provide Willoughby Ranch Inc with a Police Check for the Vulnerable Sector.

Local Personal References (Must Be 18 Years Old and Not Related to You)

Reference Name*

First NameLast Name

Phone Number*

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Reference Name

First NameLast Name

Phone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I hereby authorize Willoughby Ranch Inc. / Jr. Wranglers Program to verify all information contained in this application with any references, any other appropriate personnel at my past or present employment, or other organizations, and any individuals. I authorize those who are contacted to disclose any and all information to Willoughby Ranch Inc. I release all such persons or entities from liability that may result or arise from Willoughby Ranch’s collections of all such evaluations or information for its consideration of my application. Should my application be accepted, I agree to follow the policies of Willoughby Ranch Inc.. I understand that this personal information will be held confidential by Willoughby Ranch Inc.

I agree with the statement aboveI disagree with the statement aboveI am the parent/legal guardian of the applicant and I agree with the statement aboveI am the parent/legal guardian of the applicant and I disagree with the statement above

I understand that filling out this form DOES NOT GUARANTEE a volunteer position for the Willoughby Ranch Inc Jr. Wrangler program.

I understand that this is a VOLUNTEER position and that I will NOT be paid for my volunteer time. (small gifts will be presented at the end of the season)

I understand that this is a VOLUNTEER position and that there will NOT be arrangements to ride a horse in exchange for my volunteering.

I understand that I must arrive 10 minutes before the start of class and stay for a short period of time after the end of class to help with any class cleanup.

Signature

Willoughby Ranch Jr. Wrangler