TRAK Volunteer Application

TRAK Volunteer Application

Please be realistic about your ability to commit your time. Please consider your commitments to work, school, family, etc. Also see how far you'll have to travel to get to TRAK, your transportation, and any upcoming changes in your schedule. While we understand that some obstacles are unforeseen, the animals still depend on the consistency of our volunteers. We would like for new volunteers to be able to commit to a weekly shift for at least 4 consecutive months due to the time and training it takes to learn all of our animals and all that goes into caring for them

We care for more than 100 animals 365 days a year so what we do is a big job and volunteers are an important and integral part of that.

Youth volunteers under 12 will need a parent to accompany them for volunteering.

VOLUNTEER INFORMATION

Name:

Address:

City: Zip:

Email Address: Date of Birth:

Phone Home: Cell:

BACKGROUND INFORMATION

Occupation/title:

Employer: Dates Employed:

Would you like us to keep your employer abreast of your volunteer service and achievement?(Double-clickbox you would like to select) Yes No

Highest level of Education:

If still in school, current year in school?

Have you ever pleaded or been found guilty of a felony or a misdemeanor (excluding traffic citations)? *(Double-clickbox you would like to select) Yes No

*If you answer yes to the previous question, please explain:

EMERGENCY CONTACT INFORMATION

Name:Relationship:

Email: Home Phone: Cell Phone:

Street Address, City, ZIP:

MEDICAL INFORMATION**INSURANCE INFO REQUIRED**

Hospital/Clinic Preference:

Physician’s Name: Phone Number:

Insurance Company: Policy Number:

Allergies/Special Health Considerations?

Do you or your child take medication? If so how often? Do any of the medications affect balance or judgement?

Are there any behavioral patterns or concerns we should know about?

AVAILABILITY

What are your available times and days to volunteer?(Double-clickbox you would like to select)

*Animal care shifts are 7-11am 4-6pm during the school year, 6-10am 5-7pm in the summer*

**Please also add me to your substitute and emergency list: YesNo

How many hours each week would you like to volunteer? (Minis 2 hours/week)

Do you wish to work more than 1 shift per week? YesNo

Comments / requests about scheduling:

SKILLS & EXPERIENCE

Special training, skills, hobbies:

Groups, clubs, organizational memberships:

Please describe your prior volunteer experience (include organization names and dates of service):

INTERESTS/ SKILLS

Please tell us if you have interest and/or skills in the following:

(Double-clickbox you would like to select)

Grounds Caretaker Ranch Hand/animal care

Special Events assistance Construction/Repair work

Office/ Admin Writing

Marketing Advertising

Accounting Bookkeeping

I also have the following skills and experience to offer:

AGREEMENT

By submitting this application, I affirm that the facts set forth in it are true and complete. If understand that I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.

I understand that I am making a commitment to TRAK and will take it very seriously. I will do my utmost best to a member in good standing and a good ambassador for TRAK away from the ranch. I will show up for my agreed upon shift(s) on time or inform my supervisor as much in advance as possible.

Name (printed):Signature:

Date:

Thank you for completing this application and for your interest in volunteering with TRAK.

*****YOU MUST ALSO FILL OUT AND ATTACH A WAIVER TO THIS APPLICATION.*****

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TRAK

3250 E Allen Road, Tucson, AZ 85718