Volunteer Application

Volunteer Application
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Mobile Phone*

Area CodePhone Number
Date of Birth

MonthDayYear
The Session(s) that I am interested in is/are:

Session 1: June 2-6Session 2: June 16-20Session 3: June 30- July 4Session 4: July 14- 18Session 5: July 28 - August 1Other - Pre-Summer InternSpring break
Notes: (If you would like to help with something specific, please indicate your interest here)
Have you worked in gardening/ agriculture?*

YesNo
If yes, what is your experience?
Have you worked with children?

YesNo
Have you ever worked with horses?*

Yes lots of experienceYes, some experienceNo
I also understand that working with livestock is at times unpredictable and that some equine and other large animals are capable of inflicting property damage, serious personal injury and even death. I am well aware of the risk of handling horses, and with such understanding, I hereby waive, release and forever discharge Expanding Horizons Farm and its employees/volunteers, agents or trainers from any and all claims (whether present or future) arising out of the participation in the Volunteer Program.
I agree to adhere to Expanding Horizons Farm procedures and policies*

Clear
Please rank the Volunteer Opportunities below

Garden Team (This would be helping plan Monday's and Fridays and any other time spent in the garden)

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Camp Helper (age 13+) Guardian will need to sign.

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Education - Developing Youth Programs

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Events - Planning, Setup, Advertising

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Fundraising - Special Events, Raising Funds

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Administrative - Phone calls, Emails, Screening Applications, Computer Work

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Social Media - Facebook, website, etc.

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Marketing - Newsletter, Publications

	1	2	3	4	5

1 is Not Interested, 5 is Very Interested

Volunteer Liability Release Form
Volunteers are an important part of Expanding Horizons Farm and we welcome those who wish to participate in our programs. Steps to becoming a volunteer at Expandging Horizons Farm are:

1. You must have an application on file

2: Have gone through Orientation

3. Anyone that will be volunteering must willingly sign this form.
Today's Date*

MonthDayYear
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
I certify that as of today's date, I am over 18 years of age.

Clear
If between 13-18 years old: I certify that my guardian* is signing this form with full knowledge of the work that I will be doing.

Clear
Guardian's Name

First NameLast Name
Guardian's Phone

Area CodePhone Number
Guardian's email
Tetnis Advisory: You are strongly urged to have a current tetanus vaccination to protect yourself should you be cut, scratched or otherwise injured in such a way that tetanus infection could threaten your health.
Acknowledgement of Tetnis Advisory*

Clear
Release of Liability: I fully understand that as a part of my volunteer work at Expanding Horizons Farm I will come in contact with animals either by direct handling or assisting in their care. Further, I understand that working with animals carries a risk of injury, and that it is possible that I may be injured. My signature to this volunteer liability release attests to my intent to hold harmless and release from all liability Expanding Horizons Farm and their agents and assigns from all acts which are related to my performance of any and all volunteer duties.
Photography Release: I agree to allow pictures of myself/ my minor to be used, without compensation, for the purpose of the promotion and publicity related to Expandign Horizons Farm.
Signature*

Clear
Date

MonthDayYear
Guardian's Signature

Clear
Should be Empty:

Volunteer Application

Volunteer Liability Release Form