Volunteer Application & Waiver

Use this form to reach out to us for volunteer opportunities.
{ binding firstError.message }

  

Volunteer Application

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Is this a renewal or first application? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

     

Have you ever worked with special needs individuals? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Do you have any experience with horses? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
When are you available to help? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Check all that apply.

  

Please indicate one of the following: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

 

Volunteer Assumption of Risk and Release of Claims

Thank you for volunteering at LTRA. We appreciate that you have chosen to spend time with us. Before you begin, we need you to know that volunteering on our farm can expose you to personal injury or damage to your property. This waiver outlines our respective rights and responsibilities relating to that risk. Please read this waiver carefully and let us know if you have any questions.

1. Volunteer Status.

I understand that as a volunteer I will not be paid for my efforts, and that I am at least 16 years of age.

2. Release of Claims and Assumption of Risk

I understand that the activities at LTRA involve serious risks. I may be exposed to, for example: insects; wildlife; farm animals; inclement weather; extreme temperatures; heavy machinery; tools; the actions of employees, volunteers, and other people present on the farm; and dangerous conditions on the land such as holes in the ground or barbed wire. I understand that these examples are not all-inclusive and there may be additional risks. I hereby, waive and release forever, all claims for damages against the Lethbridge Therapeutic Riding Association, its Board of Directors, Instructors, Therapists, Volunteers and Employees for any injuries and/or losses I may sustain while participating at the Lethbridge Therapeutic Riding Association.

3. Medical Care Authorized

I am physically fit to participate in activities at LTRA. I understand that there are no medical services available on site or otherwise, and I give permission to LTRA to authorize emergency medical treatment for me. I release LTRA and its officers, board members, employees and agents, from liability for any injury or damage that might extend from such emergency medical treatment.

4. Confidentiality

I understand that while at LTRA I may have access to confidential information about clients, which must be treated as confidential. All information provided to me by a parent, instructor, or anyone else in relation to a client will be discussed only with the personnel of the Lethbridge Therapeutic Riding Association. At no time will I discuss any information about clients with other parents or individuals. I recognize that all material and papers pertaining to client care are legal documents and that all information contained therein is confidential.

5. Photo Release

I consent to authorize the use and reproduction by Lethbridge Therapeutic Riding Association of any and all photographs and any other audio/visual materials taken of me during any volunteer activities for promotional material, educational activities, exhibitions, or for any other benefit of the program.

7. Criminal Record Check

LTRA requires that volunteers have a Criminal Record Check that includes the Vulnerable Sector Search. Present the support letter you receive from LTRA to the Police department under whose jurisdiction your residence falls under. They will have you complete an application form.

 

 

Adult Declaration

{ binding firstError.message }

 

Privacy Policy

 

 

 Signature:  _______________________________________      Date: _______________ (yyyy-mm-dd)

 

  

{ binding firstError.message }

Minor Declaration

Guardian or Parent's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

  

{ binding firstError.message }

 

Privacy Policy

 

 

 Signature:  _______________________________________      Date: _______________ (yyyy-mm-dd)

 

  

{ binding firstError.message }

Volunteer File Checklist

 

Application Review Instructions:

This section is used to track the application process, and to ensure the volunteer's file is complete.  After both the application form review and the interview please edit the aplicant's entry.

 

Interview Notes & Plan: 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Application accepted: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

   

 

 

{ binding firstError.message }
{ binding firstError.message }
Approved: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

 

 

Filing Instructions:

If an applicant has been approved all documents on this checklist must be complete, current, and included in the individual file (retain all accumulating documents).  Please keep in mind the following when using this checklist:

  1. Check off each item in the following checklist when the completed document is added to the file
  2. The participant may not proceed until all of the initial requirements are complete
  3. When the participant is actively involved with LTRA this is an Open File.  When the participant is no longer actively involved with LTRA this will be a Closed File and set aside for a minimum of 10 years (closed files may be digitized, but must include all documents).

 

 

 

Application Review:

  • Name of reviewer:  __________________________________
  • Date of review: _________________________   (yyyy-mm-dd)
  • What is the outcome of the application (check or circle as applicabe):
    • Accepted
    • Rejected
  • Date the applicant was advised of outcome:  _________________________   (yyyy-mm-dd)
  • Person notifying applicant of outcome:  __________________________________

 

Interview:

  • Interview arranged date _______
  • Notes: 

 

 

 

 

 

 

 

  • Plan:

 

 

 

 

 

 

 

 

 

Initial requirements:

Check each of the following as they are confirmed in the file:

    • Application form (includes waivers)
    • Personal Information form
    • Code of Conduct
    • Criminal record search:
      • must include vulnerable sector
      • Must be an original within 30 days of starting, and subsequently within 36 months
    • Qualification documents
      • All certifications required to fulfill the required job description must be included

 

Training Qualifications:

Check each of the following as they are confirmed in the file:

    • Orientation
    • Farm Safety
    • Horse handling
    • Feeding
    • Side walker
    • Tractor operation
    • Skid steer operation

 

Ongoing Requirements:

    • Communication log/journal
    • Near misses/incident reports 

 

 

 

 

Exit:

  • Date the applicant withdrew from LTRA:  _________________________   (yyyy-mm-dd)
  • Reason applicant withdrew from LTRA:  __________________________________________________________

 

Note the following when advising the applicant of their application status:

    1. Notify the applicant by email in order to maintain a record of the contact
    2. Print a copy of the notification email
    3. File this application as follows:
      • Approved:  create an individual folder to accumulate the required documentation
      • Pending:  staple this application with the notification email, and file in the Volunteers Pending file alphabetically by last name
      • Not approved:  staple this application with the notification email, and file in the Volunteers Not-Approved file alphabetically by last name
{ binding firstError.message }

Volunteer Application & Waiver

Volunteer Application & Waiver

Use this form to reach out to us for volunteer opportunities.
     Yes, I would like to apply to volunteer at LTRA. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

  

Volunteer Application

Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Is this a renewal or first application? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

     

Have you ever worked with special needs individuals? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Do you have any experience with horses? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Please explain {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
When are you available to help? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

  

Please indicate one of the following: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

 

Volunteer Assumption of Risk and Release of Claims

Thank you for volunteering at LTRA. We appreciate that you have chosen to spend time with us. Before you begin, we need you to know that volunteering on our farm can expose you to personal injury or damage to your property. This waiver outlines our respective rights and responsibilities relating to that risk. Please read this waiver carefully and let us know if you have any questions.

1. Volunteer Status.

I understand that as a volunteer I will not be paid for my efforts, and that I am at least 16 years of age.

2. Release of Claims and Assumption of Risk

I understand that the activities at LTRA involve serious risks. I may be exposed to, for example: insects; wildlife; farm animals; inclement weather; extreme temperatures; heavy machinery; tools; the actions of employees, volunteers, and other people present on the farm; and dangerous conditions on the land such as holes in the ground or barbed wire. I understand that these examples are not all-inclusive and there may be additional risks. I hereby, waive and release forever, all claims for damages against the Lethbridge Therapeutic Riding Association, its Board of Directors, Instructors, Therapists, Volunteers and Employees for any injuries and/or losses I may sustain while participating at the Lethbridge Therapeutic Riding Association.

3. Medical Care Authorized

I am physically fit to participate in activities at LTRA. I understand that there are no medical services available on site or otherwise, and I give permission to LTRA to authorize emergency medical treatment for me. I release LTRA and its officers, board members, employees and agents, from liability for any injury or damage that might extend from such emergency medical treatment.

4. Confidentiality

I understand that while at LTRA I may have access to confidential information about clients, which must be treated as confidential. All information provided to me by a parent, instructor, or anyone else in relation to a client will be discussed only with the personnel of the Lethbridge Therapeutic Riding Association. At no time will I discuss any information about clients with other parents or individuals. I recognize that all material and papers pertaining to client care are legal documents and that all information contained therein is confidential.

5. Photo Release

I consent to authorize the use and reproduction by Lethbridge Therapeutic Riding Association of any and all photographs and any other audio/visual materials taken of me during any volunteer activities for promotional material, educational activities, exhibitions, or for any other benefit of the program.

7. Criminal Record Check

LTRA requires that volunteers have a Criminal Record Check that includes the Vulnerable Sector Search. Present the support letter you receive from LTRA to the Police department under whose jurisdiction your residence falls under. They will have you complete an application form.

 

 

Adult Declaration

     I declare that the information provided is correct, and I acknowledge and accept the waiver. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

Privacy Policy

 

 

 Signature:  _______________________________________      Date: _______________ (yyyy-mm-dd)

 

  

{ binding firstError.message }

Minor Declaration

Guardian or Parent's Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

  

     As the applicant's parent or guardian I declare that the information provided is correct, and I acknowledge and accept the waiver. {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

Privacy Policy

 

 

 Signature:  _______________________________________      Date: _______________ (yyyy-mm-dd)

 

  

{ binding firstError.message }

Volunteer File Checklist

 

Application Review Instructions:

This section is used to track the application process, and to ensure the volunteer's file is complete.  After both the application form review and the interview please edit the aplicant's entry.

 

Interview Notes & Plan: 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Application reviewed by: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Review date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Notes: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Application accepted: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

   

 

 

Interviewed by: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Interview date: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Approved: {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }

 

 

Filing Instructions:

If an applicant has been approved all documents on this checklist must be complete, current, and included in the individual file (retain all accumulating documents).  Please keep in mind the following when using this checklist:

  1. Check off each item in the following checklist when the completed document is added to the file
  2. The participant may not proceed until all of the initial requirements are complete
  3. When the participant is actively involved with LTRA this is an Open File.  When the participant is no longer actively involved with LTRA this will be a Closed File and set aside for a minimum of 10 years (closed files may be digitized, but must include all documents).

 

 

 

Application Review:

  • Name of reviewer:  __________________________________
  • Date of review: _________________________   (yyyy-mm-dd)
  • What is the outcome of the application (check or circle as applicabe):
    • Accepted
    • Rejected
  • Date the applicant was advised of outcome:  _________________________   (yyyy-mm-dd)
  • Person notifying applicant of outcome:  __________________________________

 

Interview:

  • Interview arranged date _______
  • Notes: 

 

 

 

 

 

 

 

  • Plan:

 

 

 

 

 

 

 

 

 

Initial requirements:

Check each of the following as they are confirmed in the file:

    • Application form (includes waivers)
    • Personal Information form
    • Code of Conduct
    • Criminal record search:
      • must include vulnerable sector
      • Must be an original within 30 days of starting, and subsequently within 36 months
    • Qualification documents
      • All certifications required to fulfill the required job description must be included

 

Training Qualifications:

Check each of the following as they are confirmed in the file:

    • Orientation
    • Farm Safety
    • Horse handling
    • Feeding
    • Side walker
    • Tractor operation
    • Skid steer operation

 

Ongoing Requirements:

    • Communication log/journal
    • Near misses/incident reports 

 

 

 

 

Exit:

  • Date the applicant withdrew from LTRA:  _________________________   (yyyy-mm-dd)
  • Reason applicant withdrew from LTRA:  __________________________________________________________

 

Note the following when advising the applicant of their application status:

    1. Notify the applicant by email in order to maintain a record of the contact
    2. Print a copy of the notification email
    3. File this application as follows:
      • Approved:  create an individual folder to accumulate the required documentation
      • Pending:  staple this application with the notification email, and file in the Volunteers Pending file alphabetically by last name
      • Not approved:  staple this application with the notification email, and file in the Volunteers Not-Approved file alphabetically by last name
{ binding firstError.message }