CWP-EVA-2023

Application for Chestatee Wildlife Preserve, Inc. (Referred to as CWP in the following pages) 469 Old Dahlonega Highway, Dahlonega, Georgia 30533

678-300-0019 info@chestateewildlife.com

Date

Last

First

MI

Street Address

City

State

Zip

Home

Work

Cell

DL# and state issued

SS #

Date of Birth

Date

Email

example@example.com

Facebook Name

Instagram name

Current Employer

phone

Previous employer

phone

Emergency Contact Person #1

phone

Emergency Contact Person #2

phone

Do you have any health issues that would prevent you from performing any specific type of physical work? If YES please explain.

Explain

Health Insurance Co.

Policy #

Date of your most recent tetanus vaccination?

Please list any medications you are taking.

Are you currently or have you ever been treated for any drug or alcohol addiction or depression?

Have you been arrested in the last 5 years?

Have you ever been convicted of a crime?

Are you currently on probation or parole?

Are you currently waiting on a trial?

Do you consent to a back-ground check by CWP?

Do you consent to random drug test by CWP?

List any special qualifications or training you have.

Signature

Clear

Date

Please tell us about yourself.

Why do you think you would be a good fit with us?

What are your strengths?

What is your desired salary or hourly wage?

Requirements for workers and volunteers:

You must respect all species!

You must love working hard and getting dirty! You must have good communication skills. You must be 18 years or older with a high school equivalent diploma. You must be able to lift and carry a 50 lbs. bag of feed. You must have your own transportation. You must have your own health insurance. You must be available 1 day per week 9 a.m. to 4 p.m. for a minimum of six months to volunteer.

We are a family destination and follow a strict dress code: Dress code: Long pants or shorts just above the knee are required, no yoga pants, spandex, formfitting or short shorts. No tank, halter, tube, midriff, camisole, or spaghetti strap tops. No sandals of any type. Closed toed shoes or boots are required. No drugs. No smoking. No alcohol.

Do you agree to the above requirements?

Please upload a copy of your Driver's License here.

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