Volunteer/Intern Application at T&D’sName: ____________________________ Date_______________ Date of Birth:_______________ Address:________________________________________________ Phone:(Home)_________________(Work)__________________ Emergency Contact Name:___________________________ Phone:__________________ Permanent Address:___________________________ Relationship to you____________________________ Permanent Phone:___________________ Email Address________________________________ Do you have any medical problems and/or are you taking any medications that we should keep on record? Allergies? _______________________________________________________________________ Past experiences or skills applicable to volunteering at T&D’s: ________________________________________________________________________ ________________________________________________________________________ Please indicate the days and times that you are available to volunteer at this time. Sun. Mon. Tues. Wed. Thurs. Fri. Sat. Morning Afternoon Please list three references. Name, Relationship to you, Address, Phone Number 1.___________________________________________________________________________ 2.___________________________________________________________________________ 3.___________________________________________________________________________ What are your goals by volunteering at T&D’s? ________________________________________________________________________
PLEASE NOTE: Volunteers are not permitted to touch any of the carnivores. Volunteers help with the maintenance and upkeep of the animals. This may include lifting up to 50lbs, bending, stretching, pushing, etc. Any questions, please contact us at (570) 837-3377. Send application and agreement (please keep a copy for yourself) to: T&D’s Cats of the World - Exotic Animal Refuge P.O. Box 186 Penns Creek, PA 17862
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Last updated 6/07