Native Animal Rescue Volunteer Application Name* First Last My current age is:* 18 or over 16-17 (written permission of parent or guardian is required) under 16 (you can volunteer with parent or guardian) Name of parent or guardian First Last Email of parent or guardian Phone number of parent or guardianYour Email* Your Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Your Phone Number*Your Cell Phone NumberI am interested in working a shift each week at the same time, on the same day, to do the following (check all that apply): Animal Care (3-4 hours) Cleaning (2-3 hours) Data entry (2-3 hours) Telephone attendant (6-12 hours) I am interested in fostering native animals at my home and am able to provide a safe environment. I can be home every day in order to feed the foster animals every 3 to 4 hours. I am interested in fostering the following types of animals (check all that apply): Squirrels Opossums Raccoons Skunks (you must be vaccinated against rabies) I am interested in helping NAR in the following ways (check all that apply): Building enclosures Fundraising Rescuing injured and orphaned animals Transporting animals I am interested in rescuing or transporting animals and am willing to drive round trips of: 30 miles or less up to 60 miles up to 120 miles over 120 miles If you are interested in rescuing or transporting animals, please check the correct boxes. Yes, I have a current California drivers license Yes, my car is registered and insured If you are interested in rescuing or transporting animals, please provide the Make and Model of your vehicle.I can volunteer during the following times (check all that apply): Monday a.m. Monday p.m. Tuesday a.m. Tuesday p.m. Wednesday a.m. Wednesday p.m. Thursday a.m. Thursday p.m. Friday a.m. Friday p.m. Saturday a.m. Saturday p.m. Sunday a.m. Sunday p.m. Please let us know of any experience or skills that you think will be helpful to Native Animal Rescue.In case of emergency, who should we contact? First Last Phone number of emergency contact. Δ