JACKALOPE ACRES
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Intern Application
Name
Adress
Email
Phone
Date of Birth
Driver License #
Current Occupation
Shirt and Hat Size
Have you been convicted of a felony to include animal abuse/ neglect, theft, drug possession, or person/person violence? Please include the year of conviction and any details you would like us to know about the incident.
Allergies and medical history that may be relevant
Do you currently have health insurance? Please list your current provider and member number. *Participants are required to have a health insurance policy in place before their arrival
Please list two emergency contacts including name, phone number, and email
What 6 week date range are you interested in attending?
Dietary choices (please note that daily board is not provided but we may host the occasional group cookout)
For local interns (within daily driving distance of Philomath, Oregon): What days and hours are you available to be at the farm?
Are you personally interested in adopting a mustang in the next 3 years?
Please describe in detail your previous horsemanship experience. Please detail if your previous experience is with domestic horses or mustangs. *Previous horsemanship experience is not required to participate.
Do you have any training influences or training styles you subscribe to?
What are your goals with mustangs? i.e. Do you wish to work with mustangs professionally, gain some experience to train your own mustang, gain internship credit for a college program, etc?
What are your expectations of learning outcomes and your experience as an intern or program participant?
Why do you wish to participate with Jackalope Acres specifically? *optional
Are there subjects you find offensive (i.e. talking politics, cigarette smoke, etc.)? *optional
Apply Now
Thanks for submitting!
Veteran Participant Application
Name
Adress
Email
Phone
Date of Birth
Driver License #
Current Occupation
Shirt and Hat Size
Have you been convicted of a felony to include animal abuse/ neglect, theft, drug possession, or person/person violence? Please include the year of conviction and any details you would like us to know about the incident.
Allergies and medical history that may be relevant
Do you currently have health insurance? Please list your current provider and member number. *Participants are required to have a health insurance policy in place before their arrival
Please list two emergency contacts including name, phone number, and email
What 6 week date range are you interested in attending?
Dietary choices (please note that daily board is not provided but we may host the occasional group cookout)
For local interns (within daily driving distance of Philomath, Oregon): What days and hours are you available to be at the farm?
Are you personally interested in adopting a mustang in the next 3 years?
Please describe in detail your previous horsemanship experience. Please detail if your previous experience is with domestic horses or mustangs. *Previous horsemanship experience is not required to participate.
Do you have any training influences or training styles you subscribe to?
What are your goals with mustangs? i.e. Do you wish to work with mustangs professionally, gain some experience to train your own mustang, gain internship credit for a college program, etc?
What are your expectations of learning outcomes and your experience as an intern or program participant?
Why do you wish to participate with Jackalope Acres specifically? *optional
Are there subjects you find offensive (i.e. talking politics, cigarette smoke, etc.)? *optional
Please list your branch, rank, and years served.
Thanks for submitting!
Discharge type and year. *optional
Apply Now
