THP Volunteer Application

Volunteer Application

If you have any questions please contact us by email or call 360-580-8204. Once your application is submitted, you will receive an email confirmation and someone will contact you within 7-10 days to schedule your orientation. If you do not receive an email confirmation, your application may not have submitted properly OR your email address was entered incorrectly. Please contact us if that happens.
First Name:*
Middle Initial:*
Required for background check
Last Name:*
Age Range*

Student (14-17)Adult (18+)
Email Address*
Facebook Address
How can we find you on FaceBook?
Stay informed. Sign up for our newsletter?*

Yes! Sign me up!No thank you
Phone Number*

Area CodePhone Number
Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
Background and Demographic Information

As a program providing services to children and vulnerable adults, the following information will be used to process a background check, as required by WA state law.

The information you provide also helps us to get a better idea of the demographic makeup of our volunteers.
Aliases*
Any other name that you are or were known by (maiden, nicknames, etc)
Birth Date

MonthDayYear
Gender on Birth Certificate*
Highest Level of Education*
WA Residency*
Type of volunteer*
Please describe why you would like to volunteer, including what you hope to get out of your experience*
Interests and Availability

This section will help us place you in a position that fits best with your interests and availability.
Which part of our program are you interested in:*

Barn TeamHorse Care TeamMaintenance/LandscapeOfficeProgram/LessonsEvents
Indicate the days and times that you are available. (times are subject to official hours of program)*

Monday7am-10amTuesday10am-1pmWednesday1pm-4pmThursday4pm-7pmFridayWeekendsOther
Certifications, Skills, and Abilities

This section will help us determine which part of our program you may have the qualifications for already and which areas you may need training in.
Please list all certifications and skills. (PATH, PSIA, CPR, WFR, ASL, etc)*
Type NONE if not applicable
Level of comfort with horses*
Riding Experience*
Comfort with grooming and tacking*
Comfort with leading a horse*
Your personal physical fitness*

Keep arm raised for 60 minsKeep arm raised 30-60 minsKeep arms raised less than 30 minsCannot keep arm raisedJog for several minutesCannot jog for several minutesLift 20 lbs over headCannot lift 20 lbs over head
Emergency Information

This information must be kept on file in case of an emergency. The Horse Prayer will only be responsible for the information that you reveal. Please be as thorough as needed for your safety.r.ability.
Emergency Contact*
Emergency Contact's Phone*

Area CodePhone Number
Please list any allergies (meds, food, seasonal, etc)*
Type NONE if not applicable
Current or existing conditions or limitations *
Type NONE if not applicable
Primary physicians name/clinic*
Physician's Phone*

Area CodePhone Number
Sign Here*

Clear
Acknowledgment and Agreement

You must open and read, in its entirety, the Application Disclosure Agreement before signing and submitting this application. This document can be found by clicking this link: Application Disclosure Agreement

By submitting this form, I attest that the information I have provided on the form is true and accurate. I have read and agree to the statements and releases as outlined in the Application Disclosure Agreement.

**NOTE FOR THOSE UNDER 18 YEARS OLD** By signing and submitting this form, I am stating my role as the parent/legal guardian of the subject named above, and I agree with all the statements made above, on behalf of the subject.
NOTE: You will receive an email confirmation after submitting your application. If you do not receive an email confirmation, your application may not have submitted properly OR your email address was entered incorrectly. Please contact us by email or call 360-580-8204. if that happens.

Someone will contact you within 7-10 days to schedule your orientation.
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