Intern Application and Volunteer Information Sheet
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Email *
Name (First and Last Name) *
Date
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Address *
Phone Number *
If you are currently enrolled in college- which school and what is your major/focus? *
Is this internship required by your academic program?
Clear selection
If yes to previous question, who would be the contact person?
If you are currently enrolled in college, what year? *
Required
Are you looking to achieve a specific number of hours within this program over a certain amount of time? If so, please let us know how many hours/how much time.
When would be the date range for you to complete your internship? (Fall, Spring, Summer, and Year)
If you are accepted as an intern, what would be your top 3 goals for your time at Great Oak Equine Assisted Programs and what expectations do you have?
Please use this space provided to briefly give us an idea of WHY you're hoping be an intern at Great Oak Equine Assisted Program.
Please use the space below to let us know about your previous experience with horses.
Please use the space below to let us know about your previous experience with individuals with physical and cognitive challenges?
Please use the space below to let us know about your previous experience with individuals with mental health concerns?
90% of your time spent at Great Oak will be conducted in a barn setting.The ideal candidate will be physically able to lift 40 lbs, able to walk and occasionally jog for up to an hour ( in and arena/calls situation), if applicable physically able to ride a horse (Great Oak horses have a weight limit of 200 lbs), and have no major conditions that would result in health problems if exposed to a barn atmosphere for prolonged periods of time (ie: are you allergic to horse? Does dust cause youth break out in hives?) If you feel you may have a situation that would limit your time int he barn or your participation in aspects of this program, please explain here.
When are you able to volunteer?
Mornings
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Volunteer Paperwork and Information Sheet
Date of Birth *
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Driver's License (State)
T-Shirt Size
Clear selection
How did you hear about Great Oak? *
Check areas in which you are interested in volunteering: *
Required
Emergency Contact Name *
Emergency Contact Phone *
Emergency Contact Relation
If Minor (under 18) Parent or Guardian
Parent or Guardian Phone
Any Medical Information we should be aware of?
Allergies
Medications
Date of last Tetanus Shot
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Permission to Use Photograph

I grant to Great Oak, its representatives and employees, the right to take photographs of me and my property in connection with the above-identified subject.

I authorize Great Oak, its assignees and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Great Oak may use such photographs of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and web content.

I have read and understand the above:

Signature:____________________________________

GREAT OAK VOLUNTEER OATH

We are safe

Great Oak volunteers will engage in best practices as set forth in Volunteer Training. Safety is our number one priority and it is each volunteer’s responsibility to ensure that they are providing a safe environment for our participants and equines.

We are kind
Great Oak volunteers will display kindness toward participants, families, staff, and other volunteers.

We are respectful

Great Oak volunteers will show compassion toward participants and their families. Inappropriate and derogatory language will not be tolerated. Use of such language could result in a volunteer being removed from the program.

We are considerate

Great Oak volunteers will always do their best to honor their commitment to Great Oak. If a volunteer is unable to make their scheduled shift, they will provide as much notice as possible to Great Oak staff. Great Oak volunteers understand that their presence is imperative for the riders to participate in their lessons. A volunteer no show may prevent a rider from participating in their lesson.

We are conscientious

Great Oak volunteers will always communicate safety concerns including those involving participants, equines, property, volunteers, and staff with Great Oak staff. This includes your personal safety and well being. If you are unhappy with your current role at Great Oak, please communicate with Great Oak staff so we can develop a solution.

We are consistent

Great Oak volunteers understand that Great Oak equines are to be handled in the manner that is set forth by Great Oak staff. If a volunteer has suggestions, they should bring it up with Great Oak staff and never implement a change in an equine’s routine without consent.

We are flexible

Great Oak volunteers understand that Great Oak has set forth policies and procedures. However, daily programming will involve many variables and volunteers may be required to adapt to a variety of situations.

GREAT OAK VOLUNTEER OATH

Failure to adhere with the Great Oak Volunteer Oath may result in removal from the program.

I, (name of volunteer), have read and understand the Great Oak Volunteer Oath. By signing this Oath, I am accepting responsibility for following the above guidelines.

Signature:___________________________________

GREAT OAK AIKEN THERAPEUTIC RIDING CENTER
RELEASE OF LIABILITY, WAIVER OF RIGHT TO SUE AND INDEMNITY AGREEMENT

WARNING: PURSUANT TO S.C. CODE ANNOTATED SECTION 47-9-720, AN EQUINE ACTIVITY SPONSOR OR AN EQUINE PROFESSIONAL IS NOT LIABLE FOR AN INJURY TO OR THE DEATH OF A PARTICIPANT RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY, AND NO PARTICIPANT OR PARTICIPANT’S REPRESENTATIVE MAY MAKE A CLAIM AGAINST, MAINTAIN AN ACTION AGAINST, OR RECOVER FROM AN EQUINE ACTIVITY SPONSOR, OR AN EQUINE PROFESSIONAL, FOR INJURY, LOSS, DAMAGE, OR DEATH OF THE PARTICIPANT RESULTING FROM AN INHERENT RISK OF EQUINE ACTIVITY.

On behalf of myself, my personal representatives, heirs, next of kin, spouse, and assigns hereby acknowledge that horseback riding involves serious risks and that it is not possible to foresee or prevent all such risks. I am aware that the fall of a rider from a horse and other accidents involving the horse and it’s rider can be caused by sudden, unforeseen occurrences and that a fall or other accident can be crippling
or fatal to the rider and may cause an injury to or the death of the horse. I understand that the behavior of horses can be unpredictable and irrational regardless of their past training and past performance.

On behalf of myself, my personal representatives, heirs, next of kin, spouse, and assigns hereby acknowledge the risks related to COVID 19 also known as the Coronavirus. I agree to hold Great Oak harmless from any claim for illness or death arising from the Virus that may be alleged to have been
caused directly or indirectly from exposure to the Virus at any facility maintained by Great Oak or at any function organized by or on behalf of Great Oak. I agree that Great Oak shall not be liable for any sickness, disease, or death which may be suffered by myself or any guest or invitee of mine arising from our related to the Virus. I agree that all risks relating to the Virus are to be borne by me. I hereby assume the sole responsibility for and agree to indemnify, defend and save Great Oak harmless from any and all loss and expenses (including legal and expert witness fees actually incurred) by reason of the liability imposed upon any of Great Oak due to illness, including death at any time resulting therefrom, sustained to myself, my guests and invitees, on account of the Virus. I expressly warrant and represent to Great Oak that neither
I nor any of my guests or invitees have knowingly contracted nor been exposed to the Virus nor are any
of the aforesaid exhibiting any symptoms of the Virus. In the event that I later discover that the aforesaid representation and warranty is false in any manner, I agree to immediately notify Great Oak and provide as much detailed information as is available.

In light of the above, I voluntarily assume the risk and danger of injury or death inherent in the use of the horse, equipment and gear provided to me by Great Oak Aiken Therapeutic Riding Center, and/ or its officers, directors, employees, agents, sponsors and volunteers (all of the aforesaid being collectively known as “Great Oak”). If I have requested my own equipment be used, I agree that Great Oak shall have no responsibility to maintain such equipment and that safety hazards may be present.

I agree to and do Release, Discharge, and Promise Not to bring a lawsuit against Great Oak doing business under their own name or any other names.

I agree and promise to hold Great Oak harmless and to fully indemnify then from and against any claim, judgment, or expense that may incur arising out of or in any way connected with either my use of the horse and any equipment provided therewith or the facility and landowners, or any acts or omissions of other employees and agents and volunteers.

I agree to abide by and follow any instructions given or rules established by Great Oak.

The laws of the State of South Carolina shall govern this release and waiver. If a court holds any portion of this release invalid, it is agreed that the remainder of this release shall continue in full legal force and effect notwithstanding the invalidity of some part of it.

I HAVE READ THIS DOCUMENT. I UNDERSTAND IT IS A PROMISE NOT TO SUE AND A RELEASE AND INDEMNITY FOR ALL CLAIMS. I SIGN THIS RELEASE VOLUNTARILY.


Signature:___________________________________________

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