Divine Equine
Volunteer Application
Contact Information
Date
*
-
Month
-
Day
Year
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Volunteer Name
*
Prefix
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
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Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mobile Phone Number
*
-
Area Code
Phone Number
E-mail
*
Prefered Method of Contact
Mobile
E-mail
Volunteer Information
Experience working with horses:
None
Little
Own a horse
Experience working with people with disabilities:
None
Little
How did you hear about Divine Equine?
Friend
web
FB
Days you are looking to Volunteer
Monday
Tuesday
Wednesay
Thursday
Friday
Saturday
Sunday
This is a fill in the
blanks
field. Please add appropriate
blank
fields and text.
Time (s) You are looking to Volunteer
Mornings
Afternoon
Evenings
Type of Volunteer Poisition
Arena Work
Barn Maintenance
Chuck Wagon
Events
Horse Leader
Landscaping
Office Administration
Roustabout
Side Walker
Background Information
Have you ever been convicted of a crime?
Type a question
No
Yes
IF Yes Please Explain:
Driver's License Number:
Authorization of Background check in all law enforcement, sheriff's department, of this state or any other state or federal government, pretaining to any convictions I may have had for violations of state or federal criminal laws, including but not limited to convictions for crimes committed upon children or animals.
*
I do Consent
I expressly DO NOT authrozie the PATH Intl Center
Signature of Volunteer: (if minor) Signature of Parent or Guardian I understand that such access is for the purpose of considering my application as an elploee/volunteer, and by signing this form I am granting DETRC
Clear
Type a question
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