Volunteer Application Form

Date: _____________

Name: _____________________________________________________

Address: ____________________________________________________

City, State, Zip: ________________________________ ______________

Home Phone:_________________ Work Phone: ___________________ Pager: _______________________

Volunteers must be at lease 16 years of age.

Area(s) of Interest (Please circle all that apply) Animal Caretaker{Min. 4 hours/week}   Newsletter Reporter

 Education Asst.{must be available on weekdays}   Artist       Exhibit Program       Photographer  

Orphan Raiser {Must be Licensed}    Apprentice     Patient Transporter      Computer Reports   

Rehabilitator {Must be Licensed}    Marketing      Fundraising       Building Projects     Facility Caretaker  

Receptionist/Intake{Usually weekends}   

I would like to share the following skills and interests with Roanoke Wildlife Rescue:

_______________________________________________________________________________________

I can volunteer on: [ ] a regular basis {Minimum of 4 hour per week }      [ ] one-time projects

I am available to volunteer on {day(s) of the week ___________________________________________________

& shift preference} ____________________________________________________

Emergency contact: Name ______________________ Relationship ___________Phone # __________

Send application to:  Roanoke Wildlife Rescue, 5931 Cotton Hill Road, Roanoke, VA 24018

INTERVIEW INFORMATION:

Interviewed By: _____________________ Trained By: ___________________________

Date of Interview: ____________________ Date of Training: _______________________