Trainee Form

CLICK AND READ THIS BEFORE FILLING FORM.

Are you a good candidate to be a rehabber?

Trainees Must Live Within 30 Miles of Raleigh, NC

* Wildlife Welfare recommends that you do not apply for a NC Wildlife Rehabilitation license until you have gone through a training session and worked under a mentor for a period of time. Must be 18 to obtain a license.

**We are in Central NC and only train rehabbers within 30 miles of Raleigh, NC**

Full Name

First Name Last Name

Street Address

City

State & Zip

E-mail

Home Phone Number

Area Code Phone Number

Cell Phone Number

Area Code Phone Number

Age:

* Rehabbing is an adult activity. It is not suitable for college students or children. Older children can assist with close supervision of parent who is a rehabber.

Ages of Children in Home

List All Pets

What wild mammals would you be interested in working with? (Wildlife Welfare does not work with raccoons, bats, foxes or other rabies vector animals.)

Rabbits Squirrels Opossums

Do You Work

Full Time Part Time Work From Home

Can you provide feedings every 4 hours during the day? Approx. Feeding Times: 7am, 12pm, 4-5pm and 8-9pm.

Yes No

If you work full time, can you come home for lunch to meet this feeding schedule seven days a week?

Yes No

Do you have a separate room in your house away from family members and pets to keep wildlife? Needs to have a window and be indoors.

Yes No Unsure

Does your home have a yard suitable for a large 4x4x6 cage with 1/2" welded wire with plenty of trees around? Yard should have many large trees.

Yes No Unsure

NOTE: Apartments are rarely suitable for rehabbing wildlife. Even if you own your home, you may need to check with any homeowners association or subdivision rules and regulations.

NOTE: Before taking animals into your care, a site inspection will be required.

Do you often go out of town?

Yes No

Where did you hear about our training classes?

Facebook Craigslist Newspaper

References (at least two with names, addresses and phone numbers)

Let us know any other relevant information.

Wildlife Welfare Trainee Form