Heartland Volunteer Application
Preferred Phone Number
Home Phone Number
Preferred Email Address
Birthdate (must be in 00/00/0000 format)
Medical or Physical Considerations
Emergency Contact Person
Relationship to Volunteer
Emergency Contact Phone
Please Briefly Describe your Previous Horse Experience
Please Briefly Describe your Previous Experience Working with Individuals Who have Special Needs
Why do you want to Volunteer at Heartland?
How did you hear about Heartland?
Professional Expertise (such as computer skills, marketing, painting, photography, etc)
Please check this box!
Please select Volunteer below: