We truly appreciate your interest in volunteering! Please complete this information form so we can match you to the best job based on your interest and skill set. Then submit to the Wild Horse Sanctuary by following the instructions below.

1. Name:

2. Address:

City:

State:Zip:

Home Phone: Work Phone:

Email Address:

3. Age:Do you have any physical limitations?

4. Do you work?If so, what type of work?

5. What is your schedule?

6. How much time can you devote to the WHS?

7. What days are most convenient for you? (Make bold or check next to the ones that apply)
SUNMONTUESWEDTHURSFRISAT

8. What months are most convenient for you? (Make bold or check next to the ones that apply)
JanFebMarAprMayJunJulAugSeptOctNovDec

9. Are you associated with any educational institution?

10. What are your interests/hobbies?

11. Do you have your own tent to stay in while at WHS or do you prefer sleeping quarters?Would you come in an RV or camper??

12. Do you mind working in all types of weather?

13. Do you mind working at all hours of the day?

14. Do you like being around large animals?

15. What types of animals do you prefer to work with? HorsesDonkeys & Mules Sheep/GoatsSmall Mammals RodentsBirdsReptilesOthers

16. Do you have any ranching abilities?

17. Do you have experience in any of the following areas?
(please x next to applicable areas)

Membership drives Fund raising (community/corp.)

Phone campaignsPublic relations

ComputersGrants

Media (TV, Radio, Print)Writing and editing

Newsletter (all aspects)Public speaking

Office WorkMillionaire (thought I'd ask)

Bilingual/multilingualFinancing

EducationLibrary research

First aidYouth organizations

Organizing car pool (to WHS)Flying airplanes

VeterinaryScientific equipment

Handling horses (all types)Humane animal capture

Wild horse censusRounding up large animals

Wildlife rehabilitationRepairing tack (saddles, etc.)

Hard labor (fences/burning)Construction (all aspects)

Mechanic (heavy/small equip.)Electrician

Heavy equipment operatorTrails (plan or build)

Mammal identificationTrack identification

Bird identificationVegetation identification

Museum coordinatorArcheology

Film or video makingPhotography

Art/ craftsMapping

18. Can you elaborate on any of the above (from item #17)?

19. Is there anything else that you have experience in that was not mentioned above??

20. Do you prefer to work with other people as a team or alone?

21. How did you select this organization?

22. Are you a member or actively involved in any environmental or other organization?

23. What other volunteering have you done?

24. What type of volunteer work would you like to do?

25. Is there any type of work you prefer not to do?

Emergency Contact #1: ______Relationship: ______

Cell Phone: ______Home Phone: ______

Emergency Contact #2: ______Relationship: ______

Cell Phone: ______Home Phone: ______

Additional comments are welcome. If necessary, attach a separate sheet. Please complete this form and emailit to Liz Juenke or send via U.S. Post to: Wild Horse Sanctuary P O Box 30, Shingletown, CA 96088.

Wild Horse Sanctuary, Volunteer Information Form updated: 09/2016