The Barn at Spring Brook Farm Application
This application is for volunteers, counselors, and interns. If you wish to give your time and talents, please complete the application below.

For questions regarding the application or volunteering at The Barn at Spring Brook Farm, please contact The Barn at 610-793-1037.

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Email *
RELEASE FORMS
In addition to completing this application, a release form must be mailed to:
The Barn at Spring Brook Farm
360 Locust Grove Rd
West Chester, PA 19382

The form can be found at: http://springbrook-farm.org/volunteer/
CLEARANCE REQUIREMENTS
All volunteers and counselors ages 18 and older are required to provide their criminal background check and child abuse clearances. Volunteers and counselors ages 13 - 17 are not required to submit clearances.
Please visit this checklist to complete your clearance and application requirements:
http://springbrook-farm.org/wp-content/uploads/2019/04/VOLUNTEER-CHECKLIST-2.pdf

Paid interns please visit this checklist to complete your clearance and application requirements: http://springbrook-farm.org/wp-content/uploads/2019/04/INTERN-CHECKLIST.pdf

Signing up for Camp Geronimo
If you are interested in volunteering as a camp counselor or assistant counselor, please visit the following links to sign up!
Week 1 (June 17-21): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week
Week 2 (June 24-28): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week1
Week 3 (July 29-August 2): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week2
Week 4 (August 5-9): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week3
Week 5 (August 12-16): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week4
Week 6 (August 19-23): https://www.signupgenius.com/go/60b084fa9a92da5fe3-week5

There is a mandatory training/orientation for all counselors. After signing up, please contact Jill at campgeronimo@springbrook-farm.org.
GENERAL INFORMATION
Name *
Date of Birth *
MM
/
DD
/
YYYY
Age *
I am applying to be a: *
Required
T-Shirt Size
Address (Street, City, State, Zip) *
Home Phone (xxx-xxx-xxxx)
Mobile Phone (xxx-xxx-xxxx)
Work Phone (xxx-xxx-xxxx)
Employer/Occupation
May we contact you at work?
Clear selection
Are you 18 years of age or older?
Clear selection
PARENT AND GUARDIAN INFORMATION
IF APPLICANT IS UNDER THE AGE OF 18, PLEASE COMPLETE THIS SECTION.

IF YOU ARE 18 YEARS OF AGE OR OLDER, SKIP THIS SECTION AND MOVE TO THE "EMERGENCY CONTACT" SECTION.
Parent/Guardian Name
Relation to Volunteer/Counselor/Intern
Address (Street, City, State, Zip)
Phone (xxx-xxx-xxxx)
Parent/Guardian Name
Relation to Volunteer/Counselor/Intern
Address (Street, City, State, Zip)
Phone (xxx-xxx-xxxx)
EMERGENCY CONTACT INFORMATION
Please include 2 other people we may contact in an emergency.
Emergency Contact 1- Name *
Phone (xxx-xxx-xxxx) *
Address (Street, City, State, Zip)
Relationship to volunteer/counselor/intern: *
Emergency Contact 2- Name *
Phone (xxx-xxx-xxxx) *
Address (Street, City, State, Zip)
Relationship to volunteer/counselor/intern: *
TELL US MORE ABOUT YOU AND YOUR EXPERIENCE:
What is your major area of interest?
Do you have experience with children with disabilities?
Clear selection
If yes, please explain:
Do you have experience with horses?
Clear selection
Do you have experience with farm animals?
Clear selection
If yes, which farm animals do you have experience with?
Please rate your horse/farm animal experience level?
Clear selection
Please describe any specific skills or volunteer interests you might have:
Do you have any physical limitations?
Clear selection
If yes, please explain:
How did you learn about The Barn at Spring Brook Farm?
A copy of your responses will be emailed to the address you provided.
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