(503) 991-4751

6665 Rickreall Rd. Independence, OR 97351 | P.O. Box 121 Rickreall, OR 97371

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Online Board Member Application

Name*
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Email*
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Address*
Street Address Address Line 2 City State ZIP Code
Employer*
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Primary service(s) and area/population served.*
Please list boards and committees that you serve on, or have served on (business, civic, community, fraternal, political, professional, recreational, religious, social).*
Include organization name, your role/title, and dates of service.
Volunteer Experience
Include organization name, type of activities, and dates of service. ,
Education/Training/Certificates
How do you feel HART would benefit from your involvement on the Board?*
What do you hope to gain for yourself out of your participation on the Board?*
HART’s board is a “working board” which means that board members commit to a significant amount of time volunteering in many different capacities throughout the organization. Will you have any regular schedule conflicts or time commitments that will inhibit you from attending board meetings or volunteering?*
Skills, experience and interests.*
- Select All
- Administration/Management
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- Program Evaluation
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- Special Events
Check all that apply.
Please list any groups, organizations or businesses that you could serve as a liaison to on behalf of HART.
Awards, honors or anything else you’d like to share.
If you are not selected as a member of the Board, or if you decide not to join, would you like to be a volunteer to assist our organization in various ways that match your skills and interests?*
- Yes
- No
- Maybe

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Contact Us

Horses Adaptive Riding and Therapy - HART

6665 Rickreall Rd.
Independence, OR 97351, United States
http://horsesadaptiveriding.org

Phone: (503) 991-4751

Para español: (503) 999-9009

Fax: (503) 662-7323

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