JUNIOR VOLUNTEER APPLICATION

1
Junior Zookeeper/Supervisor Application
Name
Birth Date
(First)
(Last)
Parents Name
(First)
(Last)
Address
(State)
(City)
(Zip)
(Street)
Home Phone
RRZS membership expiration date
Person to notify in an emergency
(Name/Relationship)
(Phone number)
School Grade attended this year
Date of last tetanus shot (required information)
I am applying for Junior Supervisor
position Junior Zookeeper
position
(must have prior experience in program)
Have you ever worked with animals?
Describe
Hobbies and Special interests
Prior volunteer experience
Years in junior zookeeper program_____________
Please list two references (not including
relatives)
1.
(Name/Relationship)
(Address)
(City)
(State)
(Phone)
2.
(Name/Relationship)
(Address)
(City)
(State)
(Phone)
I affirm the information provided is accurate and
permission for checking personal references is
hereby given.
Volunteer Signature
Date
Parent Signature
Date
(For office use)
Check Cash
Enclosed Amount
Program Fee Membership Fee
Scholarship Amount