Sacred Heart Gypsy – Volunteer Application

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PERSONAL CONTACT INFORMATION

First Name

Last Name

Street Address *

Apartment, suite, etc

City *

Province *

ZIP / Postal Code *

Home Phone *

Cell *

Email Address *

Confirm Email Address *

Date of Birth *

EMERGENCY CONTACT

First Name

Last Name

Phone *

Relationship to you

PERSONAL REFERENCES

First Name

Last Name

Phone *

Relationship to you

First Name

Last Name

Phone *

Relationship to you

HEALTH INFORMATION

Do you have any health problems, allergies or restrictions that might affect your volunteer work? If “yes,” please explain:

PREVIOUS EXPERIENCE

1. List current and/or previous experience with animals, farm and/or gardening:

2. List previous volunteer experience:

VOLUNTEER AREAS

(Please check two of the three areas)

Handling and care of horses: • Grooming • Groundwork • Training • Breeding and foaling • Cleaning tack, feedingFarm maintenance: • Fencing • Pasture clean-up (moving dead wood, cutting down old trees) • Painting, carpentry work • Yard work and gardening • Building clean-upAdministrative / Marketing: • Bookkeeping, data entry • Grant writing • Event planning • Public relations • Photography, videography, social media

ADDITIONAL INFORMATION

Please include any other information you would like us to know to help process your application:

RIDING LEASE INFORMATION (On-Site Riding Leases are available in Spring, Summer, and Fall)

Must be an intermediatei rider and pass a riding assessment wth a professional instructor. Must have riding insurance. Lease per horse: $60/month.

NOTES & REQUIREMENTS

• An initial interview and further paperwork will be required before your application can be approved.

• The information on this form is being collected to process your application for volunteering in accordance with the Freedom of Information and Protection of Privacy Act, for the purpose of determining your eligibility.

• Once your application is approved:

Volunteer leads supervising children must have a background check and vulnerable sector check (link provided below).

Criminal Record Check Form

All volunteers MUST have an AEF membership. Information is provided at the link below:

AEF Membership Form

ORGANIZATION CONTACT INFORMATION

Address: #10 58024 – Range Road 33, Barrhead, AB T7N 1N4
Telephone: 780-271-7003
Email: info@sacredheartgypsies.com
Website: https://sacredheartgypsies.com/

Once completed, please submit this form electronically, to the address, email, or in person at the Sacred Heart Gypsies’s contact information listed above.

Signature *