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Volunteer/Staff Application Form: Hope and Healing Academy

The document is a volunteer/staff application form for Hope and Healing Academy. It requests general information from applicants such as name, address, phone number, date of birth, employer/school. It also asks how the applicant learned about the academy and what areas they are interested in volunteering like horse handling, photography, or facility repairs. The form notes there are fees for background checks and CPR/first aid training associated with the application. It requires references, emergency contacts, and a signature acknowledging the information is true and authorizing background checks.

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Mariah Moran
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27 views

Volunteer/Staff Application Form: Hope and Healing Academy

The document is a volunteer/staff application form for Hope and Healing Academy. It requests general information from applicants such as name, address, phone number, date of birth, employer/school. It also asks how the applicant learned about the academy and what areas they are interested in volunteering like horse handling, photography, or facility repairs. The form notes there are fees for background checks and CPR/first aid training associated with the application. It requires references, emergency contacts, and a signature acknowledging the information is true and authorizing background checks.

Uploaded by

Mariah Moran
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Hope and Healing Academy

Volunteer/Staff Application Form


General Information
Name: ________________________________________________________ Date:
__________________
Address:
_____________________________________________________________________________
Phone (H): _____________________ (C): ____________________ Email:
_________________________
Date of Birth: ____________________ Social Security Number:
_________________________________
Employer/School:
______________________________________________________________________
Address:
_____________________________________________________________________________
If under the age of 18, Parent/Legal Guardian/Caregiver Name/Address/Phone
Number:
_____________________________________________________________________________________
_____________________________________________________________________________________
How did you learn about HAHA?
_____________________________________________________________________________________
_____________________________________________________________________________________
Check areas in which you are interested:
Program
Special Events
__ Horse Handling
__ Horse Show
__Photography/Video
__ Side walking with Student
__Fundraising
__Future Planning
__ Stable Management
__ Trail Rides
__ Facility Repairs

Administration
__Public Relations
__Grant Writing
__Newsletter

Skills and experiences that would be applicable to your volunteer work:


_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Have you ever been convicted of a crime? Yes No
If yes, please explain:
_____________________________________________________________________________________
_____________________________________________________________________________________
In case of emergency, whom may we contact?
Name: ________________________________________________________ Relationship:
____________
Phone: ________________________

Hope and Healing Academy


Physician: _____________________________________________________ Phone:
_________________
Preferred Hospital:
_____________________________________________________________________

Please list three personal references, 2 of which are not relation to you.
Name: ________________________________________________________ Relationship:
____________
Address: ______________________________________________________ Phone:
_________________
Name: ________________________________________________________ Relationship:
____________
Address: _______________________________________________________ Phone:
________________
Name: ________________________________________________________ Relationship:
____________
Address: ______________________________________________________ Phone:
_________________
Please note there are fees associated with your application. These include fees for
background checks ($50.00) and CPR/First Aid ($20.00). Fees are reimbursed after
one year of volunteer service.
My signature below acknowledges that the above information is true and complete
to the best of my knowledge. It also authorizes HAHA to contact my references, and
any other person or agency in this application. I understand that I cannot volunteer
at HAHA in direct service to children and families, if I have a felony record, a
validated case of child abuse, or have had a child removed due to child abuse or
neglect. I further state that none of the above conditions apply. I am willing to
submit my name for the security clearance necessary for employment or volunteer
work (DCF Child Abuse Registry and/or KBI Check).
Signature: _______________________________________________________ Date:
________________

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