Fill Out Application Form Below Volunteer or Work Student Program: Exchange discounted or free lesson/ride. The volunteer program is designed to provide a fun and educational opportunity for our students/adults. We are looking for people who plan to volunteer on a regular basis. We don't accept volunteers on a casual basis because it doesn't allow time for students to learn our horses' names and dispositions, how to safely handle horse and how to ride well enough to assist us with students. Applicants that want to ride are expected to be competent riders, must be physically fit, comfortable riding at all gates and to have some experience caring of horses. Some of the duties will be caring for horses, ranch chores & help with our riding program throughout year, including in the summer. Must be available some weekday (morning or evening) At least 2 Sat/month and during our summer riding program. Schedule may vary depending on needs, ask for more details. Applicants for working student positions will need to plan to come to the ranch for a personal interview along with the volunteer trial period. Step 1 of 11 9% Applicant Name* First Last Cell Phone #*Email* Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am applying for:*Work Student-Ride ProgramVolunteer Non Riding Applicant InformationYou as applicant are currently what age?*I am 18 or olderI am 17 or youngerBirthday* Date Format: MM slash DD slash YYYY Age*Age1415161718192021222324-2627-3031+Driver license #/State*If you do not have a license, please type none. Shirt Size*If you are hired you will be required to purchase a M&M Ranch shirt. Y-MY-LA-SA-MA-LA-XLShirt Size*If you are accepted in Work Student Program, you will be required to purchase a M&M Ranch shirt. Y-MY-LA-SA-MA-LA-XLPrevious Riding Experience*None0-5 hours (walk only)5-20 hours (walk only)5-20 hours (walk,trot)20+ Rider able trot, lope on their ownCurrently taking Lessons 2-4 times/month, trot, lope on their ownNot taking lessons ride 3-4 times/month, trot, lopeRide your own horse currentlyCompete on your own horse currentlyCompete with horse you leaseHeight*3'8" - 3'11"4' - 4'4"4'5" - 4'7"4'8" - 4'11"5' - 5'3"5'4" - 5'7"5'8" - 6'Weight*50 - 60 pounds61 - 70 pounds71 - 80 pounds81 - 90 pounds91 - 100 pounds101 - 115 pounds116 - 130 pounds130 - 150 pounds151-180 pounds181-200 pounds200+For safety and health of our horses we need to know this. Known Allergies*How did you hear about us?*FriendRelativePrevious CamperCamp Advertising SiteSearch on InternetotherIf you found us from individual or specific site please let us know.* Medical InformationParent/Guardian Name* First Last Applicant Name* First Last Applicant covered by insurance?*YesNoSelf pay onlyEmergency Contact Name* First Last (Other than parent listed on enrollment form if 17 or younger) Emergency Contact Name* First Last Relation to applicant?*ParentFriendGrandparentSpouseOther RelativeEmergency Contact Phone*Does applicant have any known medical conditions that would interfere with riding a horse?*YesNoIf yes please explain:*Does applicant have any medical conditions that would limit your ability to perform physical labor? (working in the heat, working outdoors, heavy lifting)*YesNoIf yes please explain:*Known Allergies*YesNoAllergies(check all that apply): Animals Insect Stings Medications Food Hay Fever/Pollen Plants Other Other/Specify Allergies:*Medications allowed to be administered (under age 18)*(check all that apply) Benadryl (allergic reactions) Cough Syrup/drops (Robitussin, Tylenol Cough/Cold Jr., Motrin Cough/Cold Jr. or equivalents Gas-X Ibuprofen Liquid Benadryl (skin allergies) Neosporin (skin irritations) Tea Tree Oil (insect bites) Tums Tylenol (pain) Medical Release Signature*My printed Name indicates in the event of an emergency or non-emergency situation, I hereby grant permission for any and all medical and/or dental attention to be administered to my child/children, in the event of an accidental injury or illness, until such time as I can be contacted. This permission includes, but it not limited to, the administration of first aid, and the use of an ambulance, and the administration of anesthesia and/or surgery, under the recommendation of qualified medical personnel. How you are related to Applicant?*Applicants that are 17 years or younger, this must be signed by applicant's legal guardian and or parent. Please specify how you are related to applicant. (parent or legal guardian) Skills & ExperiencesIf your experiences with horse(s) has been longer then past 14 months please specify how long ago?*Knowledge Emergency Care*Please check off what experiences you have had. Assess & treat injuries/wounds Know symptoms of illness/colic Administer medications orally Administer medications IV None Basic Horse Care*Please check off what experiences you have had Clean Stalls at least 4+ horses Feed taken care at least 4+ horses Feed & care for at least 1-2 horses Scrubbing Water Buckets 4+ horses Catch/move horses in & out pasture (4+horses) Catch/move horses in & our pasture (1-2 horses) None Riding Experience*Please check off what experiences you had in these areas. Western Barrel Competition Pole Competiton Bareback Riding Gymkhana/other speed events Walk only Trot lope/canter Ride 2-3 horses regularly Capable mounting & dismounting without stirrups English/Hunt Dressage Currently Compete Trail Rides None Horse Tack and Training Knowledge*Please check off what experiences you had in these areas. Grooming Tacking Un-tacking Bridle several types of horses Safety check with tack Capable halter/catch Know how to use rope halter Safety release knot Tying horse safely Know how use rope halter Capable of lunging horses safely in round pen Capable of lunging horse on lead rope None Experience with Kids & Current CertificationsExperience with Kids & Activities* Assistant to instructor Lead horse instructor with supervision Lead horse instructor without supervision Teach group lessons (3+kids) Leading Horse/child safely Working with children Leadership w/outdoor/indoor games Arts & Crafts Sports Dance Swimming Cooking Photography None Check those you have current certification* First Aid CPR LIfeguard First Responder RN EMT None EducationName of High School, College or Other*Dates*Diploma/Degree/Major*Additional Education?*YesNoAdditional Education Name(Name of High School, College or Other) Dates*Diploma/Degree/Major*Employment ExperienceAre you currently or recently employed?*YesNoCompany/Organization Name*(Most recent or current employment) Reason for Leaving*From Date* Date Format: MM slash DD slash YYYY To Date* Date Format: MM slash DD slash YYYY Supervisor Name*Phone*Position and Responsibilities*Do you have another previous employment to add? (3 job histories preferred)*YesNoPrevious Employment Name*Reason for Leaving*From Date* Date Format: MM slash DD slash YYYY To Date* Date Format: MM slash DD slash YYYY Supervisor Name*Phone*Position and Responsibilities*Do you have another previous employment to add?*YesNoPrevious Employment Name*Reason for Leaving*From Date* Date Format: MM slash DD slash YYYY To Date* Date Format: MM slash DD slash YYYY Supervisor Name*Phone*Position and Responsibilities*Volunteer ExperienceAny applicable volunteer experience?*YesNoCompany/Organization Name*Reason for Leaving*From Date* Date Format: MM slash DD slash YYYY To Date* Date Format: MM slash DD slash YYYY Supervisor Name*Phone*Position and Responsibilities*Any other position or responsibilities you'd like to include:(baby sitting, dog sitting, house sitting, paper route, etc.) Previous Riding and Barn ExperienceI currently:*Own a horseLease a horseDo not own a horseI currently ride or use to ride horse(s).*YesNoI currently or use to take lesson? Specify name of Barn(s), & Locations*If you were taught how to ride from family member, please explain:*Explain timeline of riding experiences:*If you had stop riding then picked up riding later, specify dates and ages you rode, and what stable(s) you rode at. What type of riding did you do? Explain what level or speed you were comfortable riding at.*If you did more then one type of riding (ex; Western Pleasure, Barrels..Jumping etc) please specify. List Names of stables/ranches you have helped, volunteered or worked at:*If you went to more than one please specify and how for long each one. List Barn, Supervisor, location & Phone #*If you went to more than one please specify. Character References (3 Required)Include Name: Relationship: # of years they have known you: Helpful Hints: Good references are teachers, coaches, volunteer supervisors, or work supervisors. A reference should be able to judge your character and abilities to work with children and others. Please do not send a reference from another student, a family member, or friend. Character Reference #1* First Last Reference to you?*TeacherCoachVolunteer SupervisorWork SupervisorHow many years/months you've known this person?*Phone*Email* Character Reference #2* First Last Reference to you?*TeacherCoachVolunteer SupervisorWork SupervisorHow many years/months you've known this person?*Phone*Email* Character Reference #3* First Last Reference to you?*TeacherCoachVolunteer SupervisorWork SupervisorHow many years/months you've known this person?*Phone*Email* Skills & StrengthsAny other experiences you'd like us to know about related to horses?Any other experiences you'd like us to know about related to kids?Hobbies & Interests*Please list your hobbies, interests, or extracurricular activities if in school, clubs, or church, etc: Strengths- Check which one describes you the most. It's ok not to be strong in everything, we don't expect that. These are character strengths we hope you have or want to develop. Leadership Organizational Skills Hard Worker Working with Children Patience Ability to follow instructions Punctuality Reliability Leading Groups/Activities Attention to Details Fun and Energetic Team Oriented Adaptability Character Strengths*Please explain a personal example or situation of strengths you have from the list above. Personal Goals for character growth:*Please explain or give an example of any personal goals you have to grow in a listed characteristic you don't think is one of your strengths. BackgroundHave you ever been accused of abusing children?*YesNoIf yes, please explain:Have you ever been involved in a crime involving children?*YesNoIf yes, please explain:Have you even been disciplined for violating any company/organization safety rules?*YesNoIf yes, please explain:Have you ever been terminated or asked to resign from a job?*YesNoIf yes, please explain:Have you used alcohol, tobacco, marijuana, or illegal substances in the last 12 months?*YesNoIf yes, please explain:Honesty Is Important to us..*I understand that false or misleading information given in my application or interview(s) may result in the decision of M&M Ranch to terminate my volunteer relations.. I am checking yes that I have answered all questions in this application truthfully. Yes Almost Done!M&M Ranch Policy* We are alcohol & drug-free ranch. We are smoke-free ranch I agree to follow Ranch policy & guidelines. I have read and agreed M&M Ranch RulesCPR & First Aid Certification Required if accepted in Work Student Program.*I read and understandCPR & First Aid Certification Required prior to start of employment.*I read and understandApplicants will need plan to come to M&M Ranch for a personal interview/trial. Part of interview process is helping out with horses/barn, kids & lessons.*I read and understandBenifits Work Student*Help make a difference in the lives of children Training program in youth or adult leadership Earn community service hours for graduation or college applications References for your future Qualified Work Student gain first priority at being hired at M&M Ranch. (paid position is not guaranteed)If applicant is in the lessons/riding work excahnge program arrangements will vary. I read and understandVolunteer Trial Period*I understand that I am providing voluntary service to M&M Ranch & Training Center of my own accord. I understand that I am not an employee of M&M Ranch & Training Center, and I have no expectation of compensation, either monetary or otherwise, from the Facility. I am volunteering for the Facility because I support its work and its goals. I understand that I will need to volunteer (20-40, or 30-60 hours) prior to receiving discount on my lessons. The number of hours varies on experiences & training needed to fill the position; this gives you a chance to really observe our program and see what it entails, and it gives us a chance to get to know you a little and see if this is right fit. Work Student must be responsible, respectful, self-sufficient, trustworthy, willing to work hard and physically capable to perform barn chores. If a student has difficulty following instructions and being safe, we have the right to postpone the program for this individual. There is no refund or credit if you choose to opt out of the program or applicant had to be asked to leave. I read and understandSome of Requirements:*We are looking for people who plan to volunteer on a regular basis. Some of duties: will be caring for horses, ranch chores & help with our riding program throughout year, including in the summer. Be available 1-2 weekday’s to help barn chores; if you're a student you can come very early before school. (Average time for barn chores 1-1 ½ hour) *Schedules may vary pending on applicant* Be available at least 2-3 Saturday mornings/month & 1 or 2 Friday evenings as needed. Summer Schedule will vary too. I read and understandLesson & Experience Requirements:*(12-15 yr) Monthly lessons required. (16 yr & up) Lesson/riding arrangements will be based off of experience Applicants that want to ride are expected to be competent riders, must be physically fit, comfortable riding at all gates and to have some experience caring of horses. Applicants will be required to pay for an intro lesson if not currently in lesson to help us determine riders skill level. Lesson and riding arrangements will be based off experience. I read and understandTypical Days/times available:* Monday AM Monday PM Tuesday AM Tuesday PM Wednesday AM Wednesday PM Thursday AM Thursday PM Friday AM Friday PM Saturday AM Schedule Varies Check off all days/times available. If your availabilty varies b/c work.school please explain.*Include Typical Schedule and what hours available when working, or not working, or in school, etc. Please send us most recent video of you riding.*If able send clip has different gates, walk, trot, lop/canter. Or any recent competition or event. I will email video clip Liability-(Parent/Guardian sign if applicant is 17 or under)*It is important for both the applicant and parents to understand that working with horses can be dangerous. Horses can be unpredictable at times and even the most gentle horse can do harm. Safety and understanding safe handling practices is taught to all students and practiced by all staff. Safety is our number one concern at M&M Ranch. M&M Ranch, its owners, employees and volunteers cannot be held liable for any accident that occurs to the above working student. Both parent and student acknowledge this by typing their name below. Parent Student Liability*It is important for both the applicant to understand that working with horses can be dangerous. Horses can be unpredictable at times and even the most gentle horse can do harm. Safety and understanding safe handling practices is taught to all students and practiced by all staff. Safety is our number one concern at M&M Ranch. M&M Ranch, its owners, employees and volunteers cannot be held liable for any accident that occurs to the above working student. Applicant acknowledges this by typing their name below. First Last Criminal Record:*Have you ever been convicted of a crime, other than a minor traffic offense? If yes, please describe: YesNoIf yes, please explain:Background Check Authorization*I authorize investigation of all statements herein, including any checks of criminal records, and release the camp and all others from liability in connection with the same. I understand that, if employed, I will be an at-will employee unless there is an agreement or law, which alters that status. Furthermore, I understand that any agreement must be in writing and signed by the designated camp official. I also understand that untrue, misleading or omitted information herein or in other documents completed by the applicant may result in dismissal, regardless of the time of discovery by the camp. Today's Date* Date Format: MM slash DD slash YYYY Thank you for filling out the application.