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Ellijay Wildlife Rehabilitation Sanctuary
435 Cougar Lane
Ellijay, Georgia 30540
(706) 276-2980
Volunteer Application
Please print the following form and
mail it to the address below.
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| Date |
Name |
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Phone |
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| __________________________________________________________ |
| Address |
City |
State |
Zip |
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| __________________________________________________________ |
| Emergency
Contact |
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Phone |
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Age:___ (Children 14 and under must be accompanied by an adult). |
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| Skills And Interests |
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Hobbies, Interests &
Skills:_____________________________________________________________ |
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Current
Occupation:___________________________________________________________________ |
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Education
Background:________________________________________________________________ |
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Previous Volunteer
Experience:_________________________________________________________ |
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Have you ever supervised volunteers?: ___ No ___ Yes. If yes, please
describe: |
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___________________________________________________________________________________ |
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| Volunteer Opportunities |
Please rate your interest in the following
volunteer opportunities as:
1 = Very Interested, 2 = somewhat Interest, 3 = Not Interested |
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___Naturalist |
___Visitor
Information/Gift Shop Assistant |
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___Wildlife Care |
___Office
Assistant/Receptionist/Computer Work |
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___Tour Guide |
___Environmental
Education with School Programs |
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___
Fundraising/Grant Writing |
___Special event
Assistance |
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___ Event
Planning |
___Public
Relations/ Newsletter/ Mailings |
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___ Trail
Building/Maintenance |
___Landscaping/Gardening |
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___ Ground
Maintenance |
___Construction |
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| Short Term Volunteer Opportunities |
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___ Gala Fundraising Event (Fall) |
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___ “Bound for the Wild” School Torch
Relay (Spring) |
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___ “Ride for the Wild” Charity
Motorcycle Ride (Spring) |
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___ Scout Projects |
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___ Assist with Special Mailings
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Do you enjoy working with:
(check all that apply) |
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____ Preschoolers |
____Grades K-5 |
____ Grades 6-8 |
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____ Grades 9-12 |
____ Adults |
____ Senior
Citizens |
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| Availability Preference |
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__Ongoing Regular
Volunteer |
___Special Events
as Needed |
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__Serve as
Resource Person in the Area(s) of
___________________________________________ |
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__Weekdays: |
__Mon |
__Tue |
__Wed |
__Thu |
__Fri |
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__Weekdays: |
__Sat |
__Sun |
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| __Evenings |
__Flexible |
__Other |
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| How did you hear about us? |
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__Friend/Volunteer |
__Newspaper |
__Internet Search |
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__Radio/T.V. |
__Brochure/Flyer |
__Walk-in |
__Other |
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| References |
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List two personal
references other than family member (one must be from current/former
employer): |
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Name: ___________________________________ |
Phone: _____________________________ |
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Address: _________________________________ |
Relationship: ________________________ |
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Name: ___________________________________ |
Phone: _____________________________ |
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Address: _________________________________ |
Relationship: ________________________ |