Volunteer Application – Southern Star Animal Rescue, Inc.

Date

First Name

Last Name

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Email Address

Phone Number

Are you a minor (under 18 years of age)?YesNo

Parent/Legal Guardian First Name

Parent/Legal Guardian Last Name

Relationship to Applicant

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Cell Phone

Alternate Phone

What Objectives do you have coming to Volunteer at Southern Star Animal Rescue, Inc.?

Other

How did you hear about Southern Star Animal Rescue, Inc.?

How many hours would you like to contribute?

Do you have any physical limitations?NoYes

If yes, please describeHorse experience is not required at Southern Star Animal Rescue, Inc. However, if you do, please out the questions below. How many years of experience with the following?

Leading/Grooming

Training on the ground

Training under saddle

Cleaning stalls

Feeding & Watering

With green horses

With “unbroke” horses

Full care/maintenance of a horse

Additional Experience/Skills you think would make you a better volunteer.

Have you ever owned a horse? When and for how long?

Have you ever been convicted of a felony? (Only if you are over 18 years old)NoYes

Have you ever been convicted of a sexual offense? (Only if you are over 18 years old)NoYes

Have you ever been convicted of animal cruelty? (Only if you are over 18 years old)NoYes