Volunteer/Intern Application at T&D’s

Name: ____________________________

Date_______________

Date of Birth:_______________

Address:________________________________________________

Phone:(Home)_________________(Work)__________________ (Cell)___________________

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 - Wild Animal Refuge
P.O. Box 186
Penns Creek, PA 17862 Last updated 02/10