Volunteer Information

2024 Volunteer Application

Welcome! Thank you for your interest in volunteering with SMILES! Your gift of time is essential to the success of our program. Please fill out the following Volunteer Application.

*Please note, you must be 15 years old to volunteer. If you are between the ages of 15-18, a parent/guardian must be present when filling out this form to sign off on the Photo Release, Confidentiality Agreement, Medical Consent & Liability Release.*

Thank you!

* Required Fields

Personal Information

Today's Date:

I understand the minimum age requirement for volunteering is 15 years old

First Name

Last Name

Address

Address 2

City

State/Province

Zip/Postal Code

County

Home Phone

Mobile Phone

Work Phone

Birthdate

Gender

Race

Ethnicity

Emergency Contact 1 (name & phone number)

Emergency Contact 2 (name & phone number)

Preferred Contact Method (in case of class cancelation)

School or University

Employer

Occupation

Please check if:

My employer gives me time off for volunteering

My employer matches cash donations

Parent/Guardian Information (if volunteer is under 18 years of age)

Parent/Guardian Name

Parent/Guardian Phone Number

Parent/Guardian Email

General Questions

How did you hear about SMILES?

If other, please share how you heard about SMILES.

Please choose your reason for volunteering from the list provided:

Please describe any experiences you've had with horses.

Please describe any experiences you've had working with people with disabilities.

Volunteer Liability Release

Volunteer Liability Release: As a volunteer at SMILES, I acknowledge the risk and potential for risks of a horseback-riding program and related equine activities, including the possibility of contracting a communicable illness due to engagement in social activity, despite infection control measures taken by SMILES. However, I feel that the possible benefits to myself and the clients I work with are greater than the risk assumed. I hereby, intending to be legally bound, for myself, my heirs and assigns, executors or administrators, waive and release forever all claims for damage against SMILES, its board of directors, instructors, therapists, volunteers and/or employees for any and all injuries and/or losses I may sustain while participating in the SMILES program.

Volunteer Liability Signature (type name to agree and sign (Parent/Guardian if under the age of 18).

Volunteer Photo Release

Volunteer Photo Release: Consent to authorize the use and reproduction by SMILES of any and all photographs and audio/visual materials taken of me for promotional material, educational activities, and exhibitions or for any other use for the benefit of the program.

Choose consent or non-consent:

Volunteer Photo Release Signature: Type name to agree and sign (Parent/Guardian if under the age of 18.)

Volunteer Confidentiality Agreement

Volunteer Confidentiality Agreement I understand that all information (written and verbal) about participants at SMILES is confidential and will not be shared with anyone without the expressed written consent of the participant and his/her parent/guardian in the case of a minor.

Volunteer Confidentiality Signature (type to agree and sign. Parent/Guardian if under the age of 18.)

Volunteer Interests

Volunteer Interests (Check all that apply):

Class Volunteer

Substitute Class Volunteer

Grounds Maintenance

Unloading/Stacking Hay

Sensory Garden (weeding, adding mulch, etc.)

Office/Data Entry

Serve on event planning committees

Volunteer at fundraising events

Seek donations for events

Volunteer Code of Ethics

As a volunteer at SMILES, I will: 1. Exhibit positive behavior of a role model.

2. I will treat everyone with dignity, worth, respect, concern, courtesy, and fairness.

3. Respect and support the decisions of staff and instructors in regards to the success of the program.

4. Learn and stay well informed of Policies and Procedures (this information is provided in the Volunteer Handbook, SMILES website and in the Volunteer Office).

5. Actively participate in offered volunteer trainings.

6. Help curtail any negative conversations or rumor related comments.

7. Focus on the mission and needs of the organization.

8. Keep safety for myself and others in mind at all times.

9. Always strive to be a more effective volunteer.

10. Represent SMILES in a positive manner to the larger community.

Commitment to SMILES Volunteers shall honor their commitment and notify SMILES as soon as possible if unable to attend their volunteer shift.

Dress Code: Volunteers will dress appropriately. Inappropriate attire includes: shirts showing midriff, halter tops, spaghetti strap tank tops, and shirts with potentially offensive words, pictures or logos. Shoes must be both closed toed and closed heeled and must be appropriate for walking.

Being eager to contribute all I can to the goals and mission of the SMILES program, I accept this Code of Ethics, and understand my responsibilities as a SMILES volunteer.

Volunteer Code of Ethics Signature: Type name to agree and sign.