NATIONAL MARINE LIFE CENTER VOLUNTEER APPLICATIONCONTACT INFORMATIONName *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryHome Phone Cell Phone Email *Date of Birth *HOW DID YOU HEAR ABOUT US?How did you hear about the National Marine Life Center? What made you want to volunteer with us? EMERGENCY CONTACTIn case of emergency, please contact (name) *Relationship *What is your relationship with your emergency contact person? (e.g., parent, friend)Emergency contact phone *INTERESTSWhich areas interest you? *Please check the area(s) in which you are interested in volunteering. Check all that apply.Administrative (e.g., mailings, filing, database entry)Animal Care (must be 18+, interview required)Junior Animal Care (ages 14-17, interview required)Gift Shop (e.g., counting inventory, stocking shelves, ordering product)Docent (e.g., greeting visitors, providing patient updates, giving tours)Education (e.g., prepping for programs, staffing booth at fairs, helping deliver programs)Facilities (e.g., gardening, maintenance, constructing exhibits)Fundraising (e.g., organizing events, writing grants, making phone calls)OtherSPECIAL SKILLSDo you have special skills? Tell us! *AVAILABILITYWhen are you available to volunteer? *Please check the day(s) and time(s) you are generally available to volunteer. Check all that apply.Sunday MorningsSunday AfternoonsMonday MorningsMonday AfternoonsTuesday MorningsTuesday AfternoonsWednesday MorningsWednesday AfternoonsThursday MorningsThursday AfternoonsFriday MorningsFriday AfternoonsSaturday MorningsSaturday AfternoonsREFERENCESPlease provide the names and phone numbers of two references (not family). Name of Reference 1 *Phone # of Reference 1 *Name of Reference 2 *Phone # of Reference 2 *AGREEMENT & SIGNATUREThank you for your interest in volunteering with the National Marine Life Center. As a volunteer, you represent NMLC to the public. With that in mind, we appreciate your willingness to read the following policies and abide by them. Age requirement: * Volunteers must be at least 14 years old. * Volunteers must be at least 18 years old to work with the larger animals in rehabilitation (sea turtles, seals). By submitting this application I affirm that the facts set forth in it are true and complete. I understand that if 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 authorize NMLC to contact my references and process my CORI prior to making a final determination on my application. I understand that by volunteering at NMLC I do not hold NMLC liable if I am injured during any volunteer activity.Digital Signature *By entering my name, I signify that I am in agreement with the above terms of volunteering.Parental Digital Signature If prospective volunteer is less than 18 years of age, a parent or guardian must enter their name signifying they understand the terms of volunteering and agree to their child's participation. VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank:
