Wild Canid Survival and Research Center Volunteer Application Form - Simply print this form, fill it out, and mail it back to us! NAME: __________________________________________________________ ADDRESS: _______________________________________________________ CITY: _________________________ STATE: _________________________ ZIP CODE: _____________________ PHONE: (home) _________________ (work) __________________ BIRTH DATE: __________________ HIGHEST LEVEL OF EDUCATION: _______________________________________ What type of volunteer work interests you? ___________________________________________________________________ ___________________________________________________________________ When are you available? Day(s): ___________________________________________________________ Hour(s): __________________________________________________________ List any special interests, hobbies or skills which might be useful to the wolves and the WCSRC: ___________________________________________________________________ ___________________________________________________________________ Paid work experience: Present position: __________________________ Company / Organization: _______________________________ Company Address: __________________________________________________ City, State, Zip: _________________________________________________ Volunteer work experience (please describe briefly): ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ What are your reasons for wanting to volunteer at the WCSRC: ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ What was the date of your last Tetanus booster: ___________________ Do you have any allergies (specify): ______________________________ Do you have any physical limitations: _____________________________ ___________________________________________________________________ REFERENCES: PERSONAL (non-relative) Name: _____________________________________ Address: _______________________________________ Phone: _________________________ EMPLOYMENT Name: _____________________________________ Address: _______________________________________ Phone: __________________________ Mail this completed form to: WCSRC Post Office Box 760 Eureka, Missouri 63025 If you need more information, please feel free to call 636-938-5900 Monday through Friday, 9am to 5pm. e-mail: edu@wolfsanctuary.org