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MANE Volunteer Application

First Name Last Name Street Address City State Zip Email Phone Mobile DOB: Is the volunteer under 18?:
Parent Name (s) (if volunteer is a minor): Parent Phone (if different from above): Emergency Contact Name: Emergency Contact Phone: School/Group Association Name (if applicable): Name of person in charge of group (if applicable): Health History: Please list any allergies or conditions that may affect you during the time at which you are volunteering: (Easily fatigued, asthma, allergic to bee stings, any major surgeries or conditions that EMS would need to be notified of in the event of an emergency) Are you comfortable around horses?:
Do you or have you ever owned horses?:
If yes to above, for how long?: Have you ever worked with horses?:
Have you had formal lessons or training in working with horses?:
If yes to above, please list the type and amount of training you have had.:
Have you ever worked with people with disabilities?:
If yes to above, in what capacity?: Are you comfortable around people with disabilities?:
Please describe any special skills, training, or talents that you feel might be helpful to us.:
Please tell us why you would like to Volunteer at Mane?:
How did you hear about Mane?: Volunteer Availability: Please select all that apply.
Area of Interest: Please select all that apply.