Your Name

Address (Street, City, State, Zip)

Home Phone

Cell Phone

Do you text?
YesNo

Your Email

Occupation

Please list days/nights you are available to volunteer.

What times are you available to volunteer?

Hours available per visit.

Horse Experience: Please list the number of years of experience with each item:
Number of years working with horses in general:

Leading/Grooming:

Training on the Ground:

Training Under Saddle:

Cleaning Stalls:

Working with Green Horses:

Full care/Maintenance of a Horse:

Describe your horse experience.

Have you had a horse pass while in your care during the last five years?
YesNo

If yes, please explain:

Describe your experience with handling, caring for, riding and/or training equine.

Why do you want to volunteer?

Have you ever done volunteer work before? Where? How long? Please describe duties.

Which areas would you enjoy participating in the most (no experience necessary):
Barn ChoresFundraising EventsOffice HelpDistributing MaterialsShow/Event BoothsSocial Media Promotion

Which areas would you enjoy participating in the most (previous experience necessary):
ToursTraining HorsesGrant WritingVolunteer Supervisor

Do you have any medical limitations?
YesNo

If yes to above question, please describe.

Volunteers Over the Age of 18 Must Answer the Following (These questions are asked for the protection of our volunteers and horses):

Have you ever been convicted of a felony?
YesNo

Have you ever ben convicted of a sexual offense?
YesNo

Have you ever been convicted of animal cruelty?
YesNo

If yes to any of the above, please explain.

Please initial before submitting:

Initial:

Parent must also initial if applicant is under 18:

Initial: