One moment please...
Volunteer Application
Contact Information
Name
First Name
Last Name
Email
Verify Email
Phone Number
OK to Text?
Yes
No
Address
Address Line 1
Address Line 2
City
City
State
State/Province
ZIP/Postal Code
Country
Under the Age of 18:
Yes
No
Availability
During which times are you available for volunteer assignments?
Weekday Mornings
Weekday Afternoons
Weekday Evenings
Weekend Mornings
Weekend Afternoons
Weekend Evenings
Interests
Tell us in which areas you are interested in volunteering
Carpentry and Construction
Grooming
Mowing and Weedeating
Trail Blazing
Small Animal Chores
Sensory Room Cleaning and Sanitizing
Craft Preparations
Large Animal Chores
Fundraising & Grant Writing (Requires Background Check)
Volunteer Coordination (Requires Background Check)
Web Maintenance & Computer HELP! (Requires Background Check)
Farm Tour Assistant (Requires Background Check)
Special Interests and Qualifications
Tell us your areas of interest and your talents that would be beneficial on the farm
Emergency Contact
Please provide the name and phone number of the person to contact in case of emergency
Medical Conditions and Allergies
Please list any medical conditions and/or allergies that may impact your safety or experience at Brackett Town Farms: (Examples: diabetes, bee sting allergies, seizures, asthma, cardiac problems, etc.) THIS WILL NOT PREVENT YOU FROM VOLUNTEERING; IT ALLOWS US TO PROVIE A SAFER ENVIRONMENT FOR YOU.
Agreement and Signature
By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
