Harmony IN Horses Stable Moments Mentor Application

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Thank you for your interest in being a Stable Moments mentor. Mentors are required to attend an online and onsite training before being matched with a child. The commitment is 1 hour per week for approximately 6 months. If you are interested in playing an active role in the life of a child with complex trauma needs, please fill out the form below

Full Name *

Email Address *

How did you hear about Harmony IN Horses? *

Co-worker or colleague

Event

Friend or family

Organization or school

Participant, instructor or volunteer

Professional referral

Stablemoments.com

Google

Other:

Date of birth *

YYYY

Gender identity *

Phone *

Preferred method(s) of communication: (check all that apply) *

Phone

Text

Required

Street Address *

City *

State *

Zip code *

Mentor's employer

Mentor's job title

Emergency Contact *

Emergency Contact Phone *

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