The Barn at Spring Brook Farm Application
This application is for volunteers, counselors, and interns. If you wish to give your time and talents, please complete the application below.

For questions regarding the application or volunteering at The Barn at Spring Brook Farm, please contact The Barn at 610-793-1037.

Email address *
RELEASE FORMS
In addition to completing this application, a release form must be mailed to:
The Barn at Spring Brook Farm
360 Locust Grove Rd
West Chester, PA 19382

The form can be found at: http://springbrook-farm.org/volunteer/

CLEARANCE REQUIREMENTS
All volunteers and counselors are required to provide their criminal background check and child abuse clearances.
Please visit this checklist to complete your clearance and application requirements:
https://docs.google.com/document/d/1L_99aiLql9Twax67bzBg-a1vCwDjxM7K76Sp4fCVwSY/edit?usp=sharing

Paid interns please visit this checklist to complete your clearance and application requirements:
https://docs.google.com/document/d/1Fz3IbgHsLyQnY6TJaTlDzKw-4IIrZB2p4sHrSbdIwsw/edit?usp=sharing

GENERAL INFORMATION
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
T-Shirt Size
Your answer
Address (Street, City, State, Zip) *
Your answer
Home Phone (xxx-xxx-xxxx)
Your answer
Mobile Phone (xxx-xxx-xxxx)
Your answer
Work Phone (xxx-xxx-xxxx)
Your answer
Employer/Occupation
Your answer
May we contact you at work?
Are you 18 years of age or older?
PARENT AND GUARDIAN INFORMATION
IF APPLICANT IS UNDER THE AGE OF 18, PLEASE COMPLETE THIS SECTION.

IF YOU ARE 18 YEARS OF AGE OR OLDER, SKIP THIS SECTION AND MOVE TO THE "EMERGENCY CONTACT" SECTION.

Parent/Guardian Name
Your answer
Relation to Volunteer/Counselor/Intern
Your answer
Address (Street, City, State, Zip)
Your answer
Phone (xxx-xxx-xxxx)
Your answer
Parent/Guardian Name
Your answer
Relation to Volunteer/Counselor/Intern
Your answer
Address (Street, City, State, Zip)
Your answer
Phone (xxx-xxx-xxxx)
Your answer
EMERGENCY CONTACT INFORMATION
Please include 2 other people we may contact in an emergency.
Emergency Contact 1- Name *
Your answer
Phone (xxx-xxx-xxxx) *
Your answer
Address (Street, City, State, Zip)
Your answer
Relationship to volunteer/counselor/intern: *
Your answer
Emergency Contact 2- Name *
Your answer
Phone (xxx-xxx-xxxx) *
Your answer
Address (Street, City, State, Zip)
Your answer
Relationship to volunteer/counselor/intern: *
Your answer
TELL US MORE ABOUT YOU AND YOUR EXPERIENCE:
What is your major area of interest?
Your answer
Do you have experience with children with disabilities?
If yes, please explain:
Your answer
Do you have experience with horses?
Do you have experience with farm animals?
If yes, which farm animals do you have experience with?
Your answer
Please rate your horse/farm animal experience level?
Please describe any specific skills or volunteer interests you might have:
Your answer
Do you have any physical limitations?
If yes, please explain:
Your answer
How did you learn about The Barn at Spring Brook Farm?
Your answer
A copy of your responses will be emailed to the address you provided.
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