Animal Care Volunteer Application

Animal Care Volunteer Application
Personal Information
Personal Information
Name*

First NameLast Name
Birthdate*

MonthDayYear
E-mail*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Hours of availability*
List the days of the week and hours that you will be available.
What is your motivation for volunteering with our animal care staff?*
Have you previously volunteered for Seneca Park Zoo?*

YesNo
If yes, please describe
Do you have a current TB test?*

YesNo
If yes, what was the date of the test?
Emergency Contact
Name*

First NameLast Name
Relationship to you*
Phone Number*

Area CodePhone Number
References

List two people not related to you whom we can contact regarding your qualifications:
Reference 1*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Reference 2*

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Comments
Your e-signature below gives Seneca Park Zoo permission to check your references:*
Should be Empty: