Volunteer Application Applicant Information Last Name: Address: City: Home Phone: Email Address: State: Cell Phone: Are you willing to transport reptiles in your vehicle? Yes If yes, please describe: If yes, please describe: First Name: DOB: Apartment #: Zip Code:
Yes No Any Food, Plant or Animal allergies? Yes No Do you have any criminal history? Yes No Do you have reliable transportation?
No
Prior Reptile Experience
Have you volunteered at any rescue before? Have you had any prior reptile experience?
Yes No Yes No
If so where? If so where?
What type of reptile(s) have you had experience with? Any other reptile experience or education?
Pet Information Have you had pets in the past or do you currently have pets? Please tell us about them. Name Species Age How are they?
Fostering Are you interested in fostering a reptile?
Yes
No
If no skip to Emergency Contact Information
What types of reptile are you interested in fostering? Are you currently fostering any animals now?
Yes
No
Do you have experience with the species you are interested in?
Yes
No
Emergency Contact Information
Name: Relationship: Cell Phone: Home Phone:
By signing below, I certify that the information given is true. I understand that Beach Cities Reptile Rescue may deny my application for any reason. I further authorize the investigation of all statements in this application.
