New Volunteer Information

First Name: Last Name:
Email:     
 DOB (mm/dd/yyyy):

Address:
City:       
State: Zip:
Home Phone:
Work Phone:
Cell Phone:

Availability

Please fill in the start-end times you would be available to volunteer(ex: ).
Sun Mon Tues Wed Thur Fri Sat
Morning
Afternoon
Evening
I have varied scheduling needs

Skills and Interests

Current / Previous Occupation:
Previous Volunteer Experience:
Hobbies / Interests:
Skills:                    
I am interested in a specific volunteer position:

Horsemanship Experience

Years working with horses:
Have you ever owned a horse?  YES NO
Please describe your experience working with horses:

Please describe the types of riding experience you have

Please choose the knowledge level that best applies to your experience in the following:
Weak Basic Moderate Strong Excellent
Ground-Work
Leading
Grooming
Lounging
Riding
Walk/Trot
Canter
Horse Health
Nutrition
Trauma/Injury
Illness

Emergency Contact Information

Name:          
Relationship:
Home Phone:         
Work Phone:          
Name:          
Relationship:
Home Phone:         
Work Phone: