Equuvation Volunteer Application [010119]

Volunteer Application

Equuvation at Rocky Creek • Therapy + Outdoor Education Center • Statesville NC

*Equuvation at Rocky Creek is home to The Discovery Trail

All individuals interested in volunteering must complete this application. Regular volunteers must be age 13 and over. We welcome volunteers younger than 13 if part of a 4-H, school, church or scout group completing a one-time service project.

* Items marked with an asterisk require a response. *

Please direct questions to: info@equuvation.org
BACKGROUND INFORMATION
TODAY"S DATE*

MonthDayYear
Date
Full Name*
Date of Birth - Must be age 13 or over.*

MonthDayYear
Date
Mailing Address*
Home Phone*
Mobile Phone*
Work Phone
E-mail Address*
example@example.com
Occupation/Place of Employment
If you are a student, where do you attend school?
If you are a student, will you need record of your volunteer time for service hours?

YesNoNot Sure
What is your preferred method of contact?*

PhoneE-mailEither
How frequently would you like to volunteer?*

WeeklyMonthlyAs NeededSpecial EventsOne-Time or Seasonal ProjectsScouts / Eagle Scout ProjectUnsureOther
What is your availability or desired days/times to volunteer? [check all that apply]*

Monday AMMonday PMTuesday AMTuesday PMWednesday AMWednesday PMThursday AMThursday PMFriday AMFriday PMSaturday AMSaturday PMSunday AMSunday PMAs needed/askedSpecial EventsOther
How many hours would you like to be volunteering in one shift?

1-2 hours2-4 hours4+ hoursAs long as neededMay vary each timeOther
Are you part of a group [corporate, school, church, organization, 4-H, scouts, etc] who would like to do a one-time Volunteer Day or Service Project? If so, please elaborate below:
What activities/programs are you interested in as a volunteer? [check all that may apply]*

Horse Care + Management (mucking stalls, feeding, preparing meals, cleaning the barns, cleaning tack, blanketing, fly spray, etc)Other Animal Care (cats, goats, donkeys, hens/ducks)Trail Work (clean-up, development, blazing, weeding, gardening)Building, Repairs + Maintenance (mowing, weed-eating, tractor work, painting, fencing and fence repair, dragging arenas)Adopt-A-Trail Station (The Discovery Trail - rcdiscoverytrail.org)Hay ProductionWorking with Clients (session prep, leading, side-walking and more!) [*requires additional training]Special Projects (creative projects, building projects, Eagle Scout projects, etc)Educational Projects (donation of time to lead workshops, presentations, clinics, lessons and more)Other
How did you hear about us?*
Do you have experience with horses?

YesNoOther
If yes, how many years of experience?
Please elaborate on your experience with horses below (if applicable).
REFERENCES

Please provide the contact information [email most important] for at least one reference. We will reach out to this refence via email so please let them know to look for communication from Equuvation.
Reference #1 [name, phone, e-mail (required), relationship]*
Reference #2 [name, phone, e-mail (required), relationship]
Do we have your permission to run a background check? [REQUIRED for any volunteer interested in working directly with clients in sessions/programs]*

YesNoNot SureOther
BY TYPING YOUR NAME IN THE BOX BELOW, YOU CERTIFY THAT ALL OF THE INFORMATION THAT YOU HAVE PROVIDED ON THIS APPLICATION IS TRUE AND CORRECT.*
IF YOU ARE UNDER 18 YEARS OF AGE, PLEASE INITIAL THAT A PARENT OR GUARDIAN SUPPORTS YOU IN THIS VOLUNTEER ROLE AND IS WILLING TO SIGN A RELEASE FORM ON YOUR BEHALF.
Any additional questions or comments:
Thank you for taking the time to complete our Volunteer Application!

We will be in touch shortly. If you have any questions, please contact us at: info@equuvation.org -- thank you!
www.equuvation.org • www.rcdiscoverytrail.org
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