Marine Mammal Care Center at Fort MacArthur Volunteer Application FIrst Name:(*) Invalid Input Last Name:(*) Invalid Input Address: (*) Invalid Input City: (*) Invalid Input State: (*) Invalid Input Zip: (*) Invalid Input Email: (*) Invalid Input Home Phone: Invalid Input Cell Phone:(*) Invalid Input Work Phone: Invalid Input Work History: Invalid Input Birth Date:(*) Month010203040506070809101112 / Day01020304050607080910111213141516171819202122232425262728293031 / Year194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020Invalid Input Have you had a tetanus shot within the past ten years? (*) YesNoInvalid Input Are you covered under a personal or family medical plan? YesNoInvalid Input Notes to Recruiter: Invalid Input Reference(s). If Yes, when and what position: Invalid Input Have you previously applied or volunteered for our organization? (*) YesNoInvalid Input Please mark the volunteer position(s) that you are interested in:(*) Animal Care volunteer (husbandry duties, cleaning, food prep, veterinary & facilities support) Education Volunteer (Administrative, outreach, docent, gift shop and event planning support) Invalid Input Hours are scheduled to change in busy season January - June Morning (Animal Care 6am-12noon | Education 10am-2pm) MondayTuesdayWednesdayThursdayFridaySaturdaySundayInvalid Input Afternoon (Animal Care 12noon - 6pm | Education 1pm-4pm) MondayTuesdayWednesdayThursdayFridaySaturdaySundayInvalid Input Emergency contacts: Name: (*) Invalid Input Phone: (*) Invalid Input Phone: Invalid Input Volunteers are responsible for their own transportation and medical insurance. Volunteers are not covered by workman's compensation. You are required to sign a General Release Form which waives any liability of the Marine Mammal Care Center at Fort MacArthur should you be injured while performing your duties. Selected and Approved Candidates are required to pay for $40 background check. By submitting this form, you may receive monthly updates about MMCC and its patients. To unsubscribe at any time, click "SafeUnsubscribe" on the bottom of any emails you receive.