Pacific Northwest Equine Protection Society Volunteer Application Form

Name:
Date of Birth:
 / 
 / 
Address:
Phone:
-
E-mail:
Emergency Contact:
Employer:
Does your employer have a matching gift/grant program?:
Please list your experience/background with horses:
Please list additional experience that may be helpful as a volunteer:
What are your goals and interests in volunteering with PNEPS?:
List your desired volunteering availability (days and times):
Desired start date:
How did you hear about us?:

Pacific Northwest Equine Protection Society maintains the right to conduct, either through state employees or through a third-party, a criminal background check of any volunteer or volunteer applicant.  None of the information provided on this form will be used to discriminate against any applicant or volunteer on the basis of race, color, national origin, sex, sexual orientation, genetic information, religion, age, disability or military status.