Full Legal Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

When are you available to volunteer for Apex Protection Project? *

Mon

Tues

Wed

Thu

Fri

Sat

Sun

AM

PM

Have you ever worked with exotic animals before? *

Yes

No

Have you every handled a dog or other animal? *

Yes

No

Have you ever trained a dog or other animal? *

Yes

No

Have you had experience working with the public? *

Yes

No

Have you had experience with animal advocacy work? *

Yes

No

Do you have any objection to strong odors (volunteering involves cleaning up feces and urine)? *

Yes

No

Do you have any objection to handling raw meat? *

Yes

No

Are you able to lift objects in excess of 20 pounds? If not, how much can you lift? *

Yes

No

Do you go hiking frequently? *

Yes

No

If you hike, how far do you usually hike? *

Less than a mile

1-3 miles

3-5 miles

More than 5 miles

Do you have any physical limitations, current or past? *

Yes

No

Do you have any severe medical conditions or allergies, current or past? *

Yes

No

Do you have any current medical conditions? *

Yes

No

Are you on any medications? *

Yes

No

Do you have any conditions that limit your sight or hearing? *

Yes

No

Do you agree to abstain from recreational drugs and alcohol while volunteering for Apex Protection Project and acknowledge that failure to do so may result in suspension or dismissal from the program? *

Yes

No

Do you see any impediments to your ability to clean kennels, handle animals, and hike? Your safety and the safety of the other human and animal members of the pack is dependent on your ability to handle the duties asked of you while at Apex Protection Project or at a public off-site event. Letting us know any limitations you may have enables us to assign only appropriate duties, should you be chosen as a volunteer. *

Yes

No

Have you ever been convicted of a crime? If so were you incarcerated? Please describe in full. (Conviction and or incarceration does not mean you will not be chosen as a volunteer.) *

Yes

No

In order to create bonding with the animals, as an Apex Volunteer Program member, we require that you be available at least three days per month. Are you able to make this commitment? *

Yes

No

If you are unable to meet the above requirements at this time, would you be interested in our Apex Associates Program, in which you provide assistance one day per month, but will not be able to handle or work with the animals? *

Yes

No