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**

Today's Date

Full Name*

First NameLast Name

Street Address*

City*

State & Zip*

E-mail

Home Phone Number

Area CodePhone Number

Cell Phone Number*

Area CodePhone 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.)*

RabbitsSquirrelsOpossums

Do You Work*

Full TimePart TimeWork From Home

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

YesNo

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

YesNo

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.*

YesNoUnsure

Does your home have a yard suitable for a large 4x4x8 cage with 1/2" welded wire with plenty of trees around? Yard should have many large trees.*

YesNoUnsure

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?*

YesNo

Where did you hear about our training classes?*

FacebookCraigslistNewspaper

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

Let us know any other relevant information.*

Wildlife Welfare Trainee Form