HORSE CAREGIVER PROGRAM

Information & Application

Personal Information
Full Name: Address:
Last First Middle Initial

Date:

Steet Address

Apt. #

City

State

Zip Code

Home Phone: Email Address:

Cell Phone:

I certify that I am over 18 years of age. yes Emergency Contact:

Home Phone:

no Birthday / / Relationship:
Cell Phone:

(mo/day/year)

Please list any medical problems, allergies or other issues we should be aware of:

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)? (this will NOT necessarily preclude you from volunteering. yes no

If yes, state the nature of the crime(s), when and where convicted, and disposition of the case:

Employment Please complete current work place:

Name of Employer: Address:

Phone Number:

Supervisor:

Describe any skills, experience or qualities that would be applicable to Caregiver position, and briefly tell us your motivation for volunteering for Slap4equine.org:

Availability There are two 2-hr shifts per day, seven days a week. Please indicate which shifts you are interested in and available to volunteer: Sun am Sun pm Mon am Mon pm Tues am Tues pm Wed am Wed pm Thurs am Thurs pm Fri am Fri pm Sat am Sat pm

Please tell us how you first heard of S.L.A.P. Equine Rescue): I certify under penalty of perjury that the information provided herein is accurate and complete. I understand that false or misleading information on my application or interview may result in my release from the S.L.A.P. Equine Rescue program.
Signature Date

Please submit your singed completed application via email to slap4equine@gmail.com. If you choose to mail your application, call 855-475-1748 for an address. If you choose to email your application, you will need to provide a singed hard copy at your Orientation. Upon review of your completed application, a member of our staff will contact you to schedule your Orientation.