Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Phone *

(###)

###

####

Primary Phone Type *

Mobile

Landline

Emergency Contact *

First Name

Last Name

Emergency Contact Phone *

(###)

###

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Volunteer Area of Interest *

Rehabilitation: Requires minimum 6 month commitment (one 4-hour shift per week) Education: Requires minimum 1 year commitment (follows education training program: one 4-hour shift per week, monthly meetings, min. 12 programs per year)

Rehabilitation

Education

Other (see below)

Additional volunteer opportunities

Office Support

Grant Writing (experience required)

Fundraising

Assisting at events

Event planning

Transport (picking up and transporting injured birds)

Rescue (facilitating rescue of injured birds)

Facilities (maintaining grounds, snow removal, repairs, etc.)

Gather content (photos and video) for social media

Tetanus vaccination required. *

In order to volunteer, you must have a current vaccination against tetanus (administered within the past 10 years).

I will provide a copy of a current tetanus vaccination for my volunteer file.

COVID-19 vaccination required. *

In order to volunteer, you must be fully vaccinated against COVID-19.

I will provide a copy of my COVID-19 vaccination card for my volunteer file.