Volunteer Form
 
First Name*
Last Name*
Gender Male    Female   
Date
City, State, Zip
Home Phone
Alternate Phone
Email Address*
Date of Birth*
Social Security Number*
Employer Name
Work Phone Number
Employer Address
School Name
School Phone Number
School Address
List any arrest, date and charge, the disposition of the case, (probation, fine, jail time, etc.), date of disposition and the jurisdiction (state,county)
Do you have a valid Florida Driver’s License: Yes (attach a copy); No (If “No”, state why not)
What type of volunteering would you like to do? Caregiver   
Docent 
  
Enrichment 
  
Construction 
  
Food Prep 
  
Office 
  
Fundraising 
  
Events 
  
Photography 
  
Phone Calls 
  
Internet Research   
Grant Writing 
  
Wildlife Rehabilitation 
  
Ground Maintenance   
Other   
List special skills you may have:
What days/times are you able to volunteer? Sunday   
Monday   
Tuesday 
  
Wednesday 
  
Thursday 
  
Friday 
  
Saturday 
  
Time

If there are no openings for the days you can volunteer, are you interested in volunteering in a noncaregiver role (see above), and/or being placed on the waiting list for an opening?

Yes    No   

The care of animals comes first; however, for caregivers, there are times when there are non-caregiving tasks need to be done. Are you willing to do other tasks as needed?

Yes    No   
If no, briefly describe why
Have you ever volunteered before? Yes    No   
If “Yes”, list the name of the facility, contact person, and time period you were there:
Describe your duties and why you left:

Do you speak any foreign languages fluently?
Yes    No   
If “Yes” please list:
Why did you choose Zooville USA?
How did you learn about us?
What would you like to accomplish as a volunteer?
What do you expect the Zoo to do for you?

Do you currently possess a class I, II or III Permit?

Yes    No   
If “Yes”, list the state that it covers, the number and expiration date:

Do you currently possess a USDA permit?

Yes    No   
If “Yes”, list the state that it covers, the number, and expiration date:
What, if any, animals have you worked with (state species and ages of animals):
If this is the first time you’ve volunteered at a facility that deals with great cats and other carnivores, why do you want to be here?
How comfortable are you around animals in close quarters that can hurt you if you are careless?

Are you now, or have you ever been, a member of any animal rights organization:

Yes    No   
If “Yes”, list the organization(s):


MEDICAL SECTION

Date of last Tetanus shot
Date of last TB test
Date of last Hepatitis B test (attach results)

Do you have any medical condition that would limit physical activity?

Yes    No   
If “Yes”, state limits of activity:


Attach three (3) reference letters (or name/contact number of 3 references).

Attach 1
Attach 2
Attach 3
E-Signature
If you are under 18, Parent/ Legal guardian
Comments/Question