Volunteer – Providence Wildlife Rehabilitation, Inc.

Providence Wildlife Volunteer Form

Thank you for volunteering! Please read the volunteer guide in the left side navigation. We will review the form and contact you soon!

Name *

Local Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Cell Phone *

Email *

What is your availability? (check all that apply) *

Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Wednesday Morning
Wednesday Afternoon
Thursday Morning
Thursday Afternoon
Friday Morning
Friday Afternoon
Saturday Morning
Saturday Afternoon
Sunday Morning
Sunday Afternoon

Due to the amount of training involved, volunteers are asked to commit to one shift per week for at least three consecutive months. Morning shifts are 10am to 12:30pm. Afternoon shifts are 1:30 to 4:30pm. The initial training shifts may be held at a different time.

I agree to show up for my shift on time or give 24 hours’ notice if I cannot work my scheduled shift. I will stay for the duration of my scheduled shift unless dismissed by Providence staff.

Please initial *

Other Required Information

Date of Birth (Must be 18 or older) *

Occupation *

List any allergies you have or type none for no allergies. *

Date of last Tetanus shot: *

Have you had a pre-rabies vaccination? *

If yes, please provide the date of your pre-rabies vaccination.

Emergency Contact Information

Emergency Contact Name *

Emergency Contact Phone Number *

Emergency Contact Relationship

Father, Mother, Brother, Friend, Neighbor

Interests & Experience

Please check the volunteer positions you are interested in.

Capture and/or Transport
Cage Cleaning and Feeding
Buildings/Grounds/Landscape/Gardening
Community Education Speaker
Marketing/Social Media

What about Providence stands out to you as a volunteer choice? *

Please describe skills and/or background. *

I understand that volunteer services will be provided to Providence Wildlife with no monetary or material compensation. Volunteers are not considered employees of Providence, and as such are not covered by Workers’ Compensation. Volunteers are held to the same high standard as employees.

Typing your name here serves as your signature. *

Please enter the date. *

Your application will be reviewed and if you are selected, you will go through an in-person interview. You will be asked to read and sign the following waivers:

Volunteer Acknowledgement and Release of Liability
Non-Disclosure Agreement, Code of Conduct Agreement
Standards of Dress and Appearance
Use of Devices on Providence Property
Volunteer Photo Policy
Wildlife Photo Policy
Social Media Policy
Zoonotic Diseases