Internship & Ranch Hand (Counselor-In-Training) Application

– Step 1 of 6

What Ranch Camp Service Volunteer Position are you applying for? *

Rec Ranger (Program Intern)
Ranch Hand (Counselor-In-Training)

Referral Source *

Print
DHR Employee
DHR Volunteer
Camp or Volunteer Fair
Google Ad
Indeed
Other

Name of Referral Source

Contact Information

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Primary Phone *

Secondary Phone

What is the best time to call?

Email *

Date of Birth *

Emergency Contact

Name *

First

Last

Primary Phone *

Secondary Phone

Email *

Relationship *

Availability

Shifts you are available? *

Monday 8:30a – 12:00p
Monday 12:00p – 5:00p
Tuesday 8:30a – 12:00p
Tuesday 12:00p – 5:00p
Wednesday 8:30a – 12:00p
Wednesday 12:00p – 5:00p
Thursday 8:30a – 12:00p
Thursday 12:00p – 5:00p
Friday 8:30a – 12:00p
Friday 12:00p – 5:00p
Sunday 2:00p – 7:00p
All

Camp Training May 22nd – June 2nd *

Can attend either in person or online
Can attend ONLY online
Can not attend

Camp Session Availability *

Session #1: June 4th – 9th
Session #2: June 11th – 16th
Session #3: June 18th – 23rd
Session #4: June 25th – 30th
Session #5: July 2nd – 7th
Session #6: July 9th – 14th
Session #7: July 16th – 21st
Session #8: July 23rd – 28th

Availability *

Ongoing
Sporadic
Only between the certain dates*

* If only between certain dates, please enter timeframes here

Interest

What are you interested in helping with? *

Working one-on-one with a Rancher
Leading enrichment classes
Editing of written documents
Horses
Teaching
Carpentry
Fishing
Ranching
Plumbing
Horticulture
Nature Hikes
History
Grant Writing
Word, Excel and general windows software
Electricial
Cows, pigs, and goats
Animal Husbandry
A/C
Master Gardener
Other

If choose Other, please explain

Have you ever volunteered at DHR? *

If you answered yes to the above question, please list when.

Employment and Volunteer Experience

Provide the following information of your past and current employers, assignments or volunteer activities, starting with the most recent. Explain any gaps in the comments section below. If additional entries are needed, please upload a document listing additional information.

Company #1 *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Job Title *

Summarize the type of work performed and job responsibilities *

Starting Date *

Please list your start date and end date (if applicable). Example: Jan 1, 2017 – March 1, 2018

Ending Date *

Hourly Pay Rate/Salary *

Please list your starting and ending pay rate

Immediate Supervisor Name and Title *

May we contact this supervisor for reference? *

Reason for Leaving? *

Company #2

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Summarize the type of work performed and job responsibilities

Starting Date

Ending Date

Hourly Pay Rate/Salary

Please list your starting and ending pay rate

Immediate Supervisor Name and Title

May we contact this supervisor for reference?

Company #3

Phone

Single Line Text

Address

Address Line 1

Address Line 2

City

State

Zip Code

Job Title

Summarize the type of work performed and job responsibilities

Starting Date

Ending Date

Hourly Pay Rate/Salary

Please list your starting and ending pay rate

Immediate Supervisor Name and Title

May we contact this supervisor for reference?

Please attach a document showing any additional employment or volunteer History

Click or drag a file to this area to upload.

Skills and Qualifications

Summarize any special training, skills, licenses and/or certificates that may qualify you for the internship or volunteer position. Skills include any foreign languages you may speak fluently. *

Educational Background

Please list the last three schools you attended, the number of years completed, degree or diploma earned (if any), GPA and/or Class Rank, Major field of study and Minor field of study.

Please start with the most recently attended school. *

Example: 2014-2018, The University of Elgin – Elgin, TX. BS degree earned in Psychology with a minor in Sociology. GPA: 3.5

Professional Memberships

List professional, trade, business or civic associations and any offices held

Please note organization name, number of years participated and any offices held.

Exclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.

Special Accomplishments, Publications and Awards

List professional, trade, business or civic associations and any offices held

Please note source, date and topic

Exclude memberships that would reveal race, color, religion, gender, national origin, citizenship, age, mental or physical disabilities, veteran/reserve, National Guard or any other protected status.

References

List the name and phone number of three non relative references who are NOT related to you. If not applicable, list three school or personal references.

Reference #1 *

Phone *

Number of Years Known *

Reference #2 *

Phone *

Number of Years Known *

Reference #3 *

Phone *

Number of Years Known *

Have you ever been convicted of a DUI or DWI? *

Have you ever been convicted of assault and battery? *

Have you ever been convicted of rape or any other sexual offenses? *

Have you ever been convicted of assault with intent to commit rape? *

Have you ever been convicted of possession, distribution and/or trafficking of drugs? *

Have you ever been convicted of intent to commit any of the above crimes? *

Have you ever been subject to any court order involving sexual or physical abuse of a minor, Including, but not limited to, a domestic order or protection? *

Have you ever been convicted of kidnapping? *

Have you ever been convicted of theft? *

Have you ever been convicted of any crime, including sex-related or child-abuse related offenses? *

Answering “Yes” to the above question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness of the violation, rehabilitation and position applied for will be taken into account.

If yes, please explain

Today's Date *

Signature *

Please sign your full name in the box above to certify that you have read, fully understand and accept all of the terms of the foregoing.

Please list any additional information you would like for us to consider.

All applicants must consent to a background check.

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