Volunteer Application First Name (required) Last Name (required) Your Email (required) Phone Number Street Address Street Address Line 3 City State Zip Code Date of birth (required) Height (required) Weight (required) Driver's Licence Number and State (required) Have you ever been convicted of a felony (required) NoYes If yes, please provide more details. This will not necessarily disqualify you from volunteering. If the Volunteer is under 18 years old, This section must be completed Legal guardian's name Address, If different than above Street address line 2 City State Zip Code Email Best Phone Number EMERGENCY CONTACT Contact #1 Name (Required) Contact #1's Phone Number Required) Contact #1 Relationship (Required) Contact #2 Name (Required) Contact #2's Phone Number (Required) Contact #2 Relationship (Required) Medical Insurance Medical Insurance & Policy Number (Required) Questions How did you hear about Headin' Home, Inc? (Required) What is your volunteer availability? Please specify the day(s) of the week, and time of day. (Required) How often would you like to volunteer? (Required) Regularly (more than once a week)Once a weekGroup volunteer opportunityEvents Only Do you have any impairments or conditions we should know about (hearing, vision, life-threatening allergies, etc)? (Required) Please list your experience (volunteering, horses, other skills). (Required) What is your horseback riding skill level? (Required) Never RiddenBeginnerIntermediateExpert What is your reason for volunteering? What are your goals? (Required) Which volunteer activities are you interested in? (check all that apply) (Required) Feeding & MuckingGroomingWalking horses for exerciseHorse training & gentlingBuilding projects & maintenanceAdministrative tasksEvent help (on-site help)Planning committeesFundraising or grant writingMarketing & public relations Is there any additional information you think we should know?
