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VEA / A New Day Volunteer Application 2020
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PO Box 112

Gallatin, TN  37066

P:  615.708.5607

veaemail@gmail.com

Contact Information:

Name:______________________________________________________________________________________________________

Address:____________________________________________________________________________________________________

City:____________________________________________________State______________________________Zip______________

Email:__________________________________________________ Phone:______________________________________________

Availability to Volunteer (Indicate hours able to work)

__________Weekday Mornings                __________Weekend Mornings                __________Days per week

__________Weekday Afternoons                __________Weekend Afternoons                __________Hours per week

__________Weekday Evenings                __________Weekend Evenings                __________Other

Interests (Indicate areas of interest – some will require additional training*)

_____Barn Chores                        _____Education Programs        *        _____PR/Fundraising                

_____Feeding*                                _____Administration                        _____Booth at fairs/Shows

_____Horse Care *                        _____Newsletter/Media                        _____Transport

_____Horse Training*                        _____On-site Assistance                        _____Handyman/Maintenance                

Experience / Skills/ Talents you have that you wish to share.  Please include previous volunteer experience:

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Horse Experience

How many years of experience do you have with any of the following:

Leading/Grooming__________                                        Providing basic hoof care/cleaning__________        

Starting a horse under saddle__________                                Working with green horses__________

Training on the ground__________                                        Working with unbroken horses__________

Riding well-trained horses__________                                Full care and/or maintenance of a horse__________

Please describe your horse experience, based on the areas you marked above

__________________________________________________________________________________________________________

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

Emergency Contact Name/Relation                                Home Phone

______________________________________________                __________________________________________________

Work Phone                                                        Cell Phone

_______________________________________________                __________________________________________________

Do you have any medical limitations or are you on any prescription medications? Yes__________        No__________

Please explain:

___________________________________________________________________________________________________________

___________________________________________________________________________________________________________

The following questions are for the safety of our volunteers, this information will remain confidential:

Have you ever been convicted of a felony? Yes__________        No__________

Have you ever been convicted of a sexual offense? Yes__________        No__________

Have you ever been convicted of animal cruelty or neglect? Yes__________        No__________

If yes, please explain__________________________________________________________________________________________

___________________________________________________________________________________________________________

By submitting this application, I affirm that the facts set forth in it are true and complete.  I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by on this application may result in my immediate dismissal.

Signature_______________________________________________                Date______________________________

Name (Printed)___________________________________________

Trainer________________________________________________

Approved date__________________________________________

 VEA / A New Day | PO Box 112 | Gallatin, TN | 37066 | 615.708.5607