Bailey Foundation - Volunteer Application

Full Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Phone Number

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

E-mail

Occupation

Employer's Name

Employer's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Employer's Phone

Area CodePhone Number

Please list three references, one of which must be your avian veterinarian

First Contact

First NameLast Name

First Phone Number

Area CodePhone Number

First Relationship

Second Contact

First NameLast Name

Second Phone Number

Area CodePhone Number

Second Relationship

Third Contact

First NameLast Name

Third Phone Number

Area CodePhone Number

Third Relationship

Do you belong to and/or support any animal organizations?

If yes, list with telephone numbers and any positions held.

Have you ever been a committee chairperson?

If yes, list committees and years served.

Do you have experience with any of the following?

Rows	Yes	No
Writing newsletters
Working with computers
Fundraising
Organizing Benefits
Organizing Auctions
Catering
Working with Charities

Do you presently have a bird?

If yes, please provide Species, Sex, Age, Where Obtained for each bird

If you currently do not own a bird, have you owned one in the past?

Do you have experience or training in any of the following bird related areas?

Rows	Experience	Training
Training
Grooming
Veterinary Assistant
Aviary Assistant
Pet Store Sales
Hand-feeding
Animal Rescue

Please explain any areas you checked above:

What types of volunteer work would you be interested in?

What hours and days of the week can you volunteer?

Thank you for taking the time to complete the Volunteer Application for teh Bailey Foundation. One of our volunteers will review your application and contact you regarding next steps.