prwc21_Community Service Volunteer Application

*Important note before continuing with your application*

Peace River Wildlife Center's policies are written by our Board of Directors. Our current policy states that we cannot accept any person with any felony convictions to fulfill their community service hours here at the Center. We can only accept any non-violent misdemeanor convictions at this time. Thank you for understanding.
Name*

First NameLast NameSuffix
Home Phone*
000-000-0000
Cell Phone
000-000-0000
Best Time to Call*

Hour Minutes

AM/PM Option
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Days and Hours Available*
Full Time Resident?*

YesNo
Date of Last Tetanus Shot

MonthDayYear
Have you ever been arrested or convicted of any misdemeanor (do not include minor traffic infractions for which no court appearance was necessary)?*

YesNo
Please Explain
Have you ever been arrested or convicted of a felony?*

YesNo
*Important note before continuing with your application*
Peace River Wildlife Center's policies are written by our Board of Directors. Our current policy states that we cannot accept any person with any felony convictions to fulfill their community service hours here at the Center. We can only accept any non-violent misdemeanor convictions at this time. Thank you for understanding.
Previous Related Work or Other Volunteer Experience*
Areas of Interest. Check all that apply*

Cleaning HabitatsTour GuideMaintenanceGift ShopGreeterOffice WorkHospitalHomecareGardeningFundraisingGrant WritingPublic RelationsPublic Speaking (with or without educational birds)
Emergency Contact Name*

First NameLast Name
Emergency Contact Home Phone*
000-000-0000
Emergency Contact Cell Phone
000-000-0000
Today's Date*

MonthDayYear
I agree to participate in any required training necessary for the position.*

Clear
Signature
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