Wild Horse Sanctuary P.O. Box 30 ▪ Shingletown, California 96088 530-474-5770 info@wildhorsesanctuary.org 501c3 Tax ID 95-3611770 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) SUN MON TUES WED THURS FRI SAT 8. What months are most convenient for you? (Make bold or check next to the ones that apply) Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec 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? Wild Horse Sanctuary, Volunteer Information Form updated: 11/12/14 14. Do you like being around large animals? 15. What types of animals do you prefer to work with? Horses Sheep/Goats Small Mammals Rodents Birds Donkeys & Mules Reptiles Others 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 campaigns Public relations Computers Grants Media (TV, Radio, Print) Writing and editing Newsletter (all aspects) Public speaking Office Work Millionaire (thought I'd ask) Bilingual/multilingual Financing Education Library research First aid Youth organizations Organizing car pool (to WHS) Flying airplanes Veterinary Scientific equipment Handling horses (all types) Humane animal capture Wild horse census Rounding up large animals Wildlife rehabilitation Repairing tack (saddles, etc.) Hard labor (fences/burning) Construction (all aspects) Mechanic (heavy/small equip.) Electrician Heavy equipment operator Trails (plan or build) Mammal identification Track identification Bird identification Vegetation identification Museum coordinator Archeology Film or video making Photography Art/ crafts Mapping 18. Can you elaborate on any of the above (from item #17)? Wild Horse Sanctuary, Volunteer Information Form updated: 11/12/14 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 email it to Jill Broughton at whsjill@yahoo.com or send via U.S. Post to: Wild Horse Sanctuary P O Box 30, Shingletown, CA 96088. If you’d like to contact Jill by phone, please call: 530-474-5770. Wild Horse Sanctuary, Volunteer Information Form updated: 11/12/14