Volunteer/Subpermittee Application Form
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please tell us which volunteer option(s) you are interested in:
Feed wildlife/help with chores at the facility
Bottle feed wild animal babies from your home
Transport wildlife in need
Manage social media
Research grant/funding options
Other
Please tell us more about which species you are/are not interested in working with:
Please tell us about your background with animals (domestic and wildlife):
If you are interested in taking wildlife home as a "subpermitted" wildlife rehabilitator, please answer the questions in this section (otherwise, skip this section)
Do you own or rent your home? (You can select more than one option):
Own
Rent
Live With Parents
Live With Roommate(s)
Other
What type of home do you live in?
House
Apartment
Condominium
Mobile Home
If you do not own your home, do you have permission from the homeowner or landlord to work with wildlife in the home?
Yes
No
Please describe your property (e.g., how much land you have; if you're in a residential or more rural area, etc.):
How many adults live in your household?
How many children live in your household?
Please list all of the animals that live in your household:
Do you have an area in your home where you can keep wildlife completely separate from any other humans or animals in the household?:
Yes
No
TERMS & CONDITIONS
Please read each and every single item carefully before checking the boxes below. By submitting this form, you agree that you have read, understand, and agree to every single condition below.
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Signature
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**** INTERNAL NOTES -- DO NOT TYPE IN THIS BOX ****
Submit
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