Volunteer Application

Note: Horses Healing Hearts conducts background checks on all volunteer applicants. By signing the application you authorize our organization to conduct this check.

Name

Address

If you’ve lived at this address less than two years, please list previous address:

Birth date

Social Security Number

Your Email

Do you text?

Phone number

Secondary number

Best Time to reach you?

Preferred method of communication: text, email or phone? Please place in order of
preference.

Days/times you’re available to help:

Note: Our highest need for Volunteers is on Saturdays from

 8:45-11:15 am (Session A) 11:15 am to 1:45 pm (Session B) 1:45 to 4:14 pm (Session C)

Total hours per week you can offer:

1: Have you ever taught or worked with kids in any capacity?


 Yes No

If yes, please elaborate:

2: Do you have any counseling experience or certifications?

3: Are you a child/adult child of an alcoholic or drug addict?

4:Why do you want to help?

5:What are some of your strengths or things you enjoy doing?

6: There are different ways we use volunteers. Please mark below where your interest
lies

 Volunteering with the children (Mainly on Saturdays, some days after school 4:30-6:30) Organizing the clubhouse once per week Various administrative duties Helping with various fundraising preparation duties (only certain times of year)

Anything else you want us to know?

Thank you for your time and effort in completing this form. We will contact you in the next
day or two to discuss how we might work together!

Applicant Signature (if document is emailed, typing
your name substitutes as signature and authorizes
our organization to conduct a background check.)

Date