Volunteer Application
Your Contact Information

Name:

Email Address:

Telephone Number:

Volunteer Details

First and Last Name

Year of Birth

Complete Mailing Address: 123 Road, City, State, Zipcode

Primary Phone Number (format: 123-456-789)

Secondary Phone Number

Email Address

Volunteer Interests

Please check all areas you are interested in:

Horse Lead (horse experience)
Side walker/Activities assistant
Assist with transportation of mounts
Typing/Clerical work
Fundraising
Equipment care/Facility Maintenance
Publicity such as writing articles, contacting organizations, etc
Assist with transportation of handicapped individuals
Making Telephone Calls
Website & Facebook work
Publications/Posters
Other

If you selected Other Above, How would you like to Volunteer?

Are you a horse owner and willing to have your horse participate for riding sessions?

Yes No 

Do you have more than one horse you are willing to donate use of during riding sessions?

Yes No 

What is the name of your horse?

What is the age of your horse?

What breed is your horse?

What is the name of the first horse you are willing to donate to use during riding sessions?

What breed is the first horse you are willing to donate for use with riding sessions?

What is the age of the first horse you are willing to donate for use with riding sessions?

What is the name of the second horse you are willing to donate to use during riding sessions?

What breed is the second horse you are willing to donate for use with riding sessions?

What is the age of the second horse you are willing to donate for use with riding sessions?

What is the name of the third horse you are willing to donate to use during riding sessions?

What breed is the third horse you are willing to donate for use with riding sessions?

What is the age of the third horse you are willing to donate for use with riding sessions?

Specific to Sidewalker / Horse Lead / Activities assistant

Do you have a CPR certification?

Yes
No

Do you have a First Aid Certification?

Yes
No

Can you walk for 60 minutes and jog for short distances?

Yes
No

Do you have a physical condition or limitation we should consider when assigning responsibilities? If so, please specify under other.

Yes
No

Please specify limitations.

Given a chance to change sides frequently, are you comfortable working or walking around horses/ponies?

Yes
No

Do you have experience with horses/ponies?

Yes
No

Please explain your experiences with horses.

Do you have other skills or training that could benefit the program?

Session Date Sign Up

We will be grouping volunteers for the upcoming sessions. Please mark all dates you are available for and willing to assist with. We ask ALL volunteers to be present on May 18th.

May 18th - Orientation, Equipment Prep, and Horse Evaluation
Tuesday, May 25
Tuesday, June 1
Tuesday, June 8
Tuesday, June 15
Tuesday, June 22
June 29
Back Up Assistance As Needed

Are you able to be present for Orientation?

Yes
No

Please explain why you are unable to be present for Orientation.

Additional Comments?

Source

Where did you hear about volunteering with Reins of Hope?

Reins of Hope Website
Facebook
Newspaper
Radio
Television
Other

Please explain other.