Local Gatekeeper Application
Please complete the following application to be added to our list of potential local volunteers. We will contact you as quickly as possible after receiving your application to discuss current volunteer opportunities.
Sign in to Google to save your progress. Learn more
Application Date *
MM
/
DD
/
YYYY
Full Name *
Email Address *
Full Address *
Phone Number *
Date of Birth *
MM
/
DD
/
YYYY
Do you have experience working with children? *
If yes, please elaborate.
What are your strengths as a volunteer? *
Do you have a preference of age for the child you are paired with? *
Share your relationship/experience/beliefs in Jesus and what role they play in your life.
 *

Rank the following in order of most to least confident in our mentoring activities.

 *
Arts and Crafts
Horsemanship
Relationship
Talking about Jesus
Tutoring
Least confident
Somewhat confident
Confident
Very confident
Most confident
Would you be willing to tutor a child?
 *
If yes, what subjects do you feel most confident in tutoring?
What grade levels do you feel most confident tutoring?
 *
Which best describes your horsemanship experience level? Please select one.
 *
What is something we should know about your personality to best pair you with a child?
 *
What days of the week/times are you available?
 *
How did you hear about 51:10 Ranch?
 *
Tell us about yourself.  Share any interesting facts, outstanding talents, funny stories, favorite foods, hobbies, certifications, awards, achievements, etc.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of 51:10 Youth Ranch. Report Abuse
Google Forms