Request edit access
Volunteer Intake Form
Email Address *
Your answer
Are you a therapy student or new graduate in the fields of Occupational Therapy, Physical Therapy or Speech Therapy? *
First & Last Name *
Your answer
Phone Number *
Your answer
Age
Your answer
Birthday (Month & Day) *
Your answer
Do you have reliable transportation? *
What days are you available? *
Required
What times are you available? *
Your answer
Are you in good physical condition? *
Are you able to lift 50 pounds or more? *
Are you able to walk for an hour or more? *
What is your experience with individuals with special needs? *
Your answer
What is your experience with horses? *
Your answer
What led you to become a part of Barn Yard Equine? *
Your answer
What do you consider to be one of your greatest strengths? *
Your answer
What do you consider to be one of your weaknesses? *
Your answer
Many of our programs require volunteers to work together as a team. What personal qualities will you bring to our team? *
Your answer
Are you interested in helping with administrative and research tasks? *
Background Check *
Required
Do you have a current Fingerprint Clearance Card? This may be presented in lieu of a background check. *
Thank you for your interest in Barn Yard Equine! We will be in touch shortly!
Barn Yard Equine
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy