Volunteer Information Form
(Volunteers must be at least 15 years old.)
Please submit the following, or if you prefer, download the .pdf form, print and mail to:
Northland Therapeutic Riding Center
P.O. Box 1267
Kearney, MO 64060
First Name: Middle Initial:
Last Name:
Home Phone: Work Phone:
E-mail: Fax:
Birthday (month/day/year):
Home Address:
City: State: Zip:
County:
Business:
Address:
City: State: Zip:
Preferred Mailing Address: Home Address Business Address
If student, name of school:
City:
While not required for all volunteer position,
please describe any previous experience with horses:
Other volunteer experience:
Hobbies/Interests:
How did you learn about Northland Therapeutic Riding Center:
While schedules change, please check all times when you are generally available.
Monday: Morning Afternoon Evening
Comments:
Tuesday: Morning Afternoon Evening
Comments:
Wednesday: Morning Afternoon Evening
Comments:
Thursday: Morning Afternoon Evening
Comments:
Please check all areas of interest. Most areas will require special training and
attendance at a volunteer orientation.
"Thank you for your interest in volunteering for Northland Therapeutic Riding Center. Sharing your talent and time to help others is a wonderful gift." -- Elizabeth Thompson, Executive Director, Northland Therapeutic Riding Center
Date: Signature:
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