Seacoast Science Center, Inc. Tax ID# 02-0526488

Marine Mammal Rescue Volunteer Application

Please complete this application fully. Please allow 2-3 weeks for review. If your skill set matches our needs our rescue staff will contact you to set up an interview. If you have any questions, please contact Rescue Manager Ashey Stokes at 603-436-8043 x29 or a.stokes@sscnh.org.

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Volunteer First Name: *

Volunteer Last Name: *

Address: *

Address 2:

City: *

State: *

Zip: *

Home Phone:

Cell Phone: *

Email: *

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Please indicate why you would like to volunteer with the Marine Mammal Rescue Team: *

What is your current employment status? (full-time, part-time, retired, unemployed)? What are the typical days/times that you would be available to respond to animals? *

Please indicate any allergies/medical conditions that we should be aware of.

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Have you had paid or non-paid experience working with the following? Please explain:

Marine Mammals and other animals:

Police or Fire:

The Public:

Do you have an physical limitations that would be pertinent to your volunteer service? (navigating the rocky shore / sandy beach, spending long periods of time outdoors standing on the beach, etc.) Please explain:

Are you comfortable working with the (sometimes unhappy) public?

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Previous Volunteer Experience:

Where was your last volunteer experience?

Volunteer Position:

Contact Name:

Phone:

________________________________________________________

Current/Past Employment:

Employer:

Position:

Supervisor Name:

Phone #:

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It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability.

Authorization to Obtain Information:

I. the undersigned, authorize any agent of the Seacoast Science Center, to obtain information regarding my employment, volunteer experience, or personal reference in connection with my application for volunteer service. Such information will be held in confidence in accordance with agency guidelines *

I agree
I do not agree

Name: *

Date: *

If you are matched with an opportunity, you will be asked to fill out a criminal record release authorization form.

Timeout Warning

Marine Mammal Rescue Volunteer Application

Please complete this application fully. Please allow 2-3 weeks for review. If your skill set matches our needs our rescue staff will contact you to set up an interview. If you have any questions, please contact Rescue Manager Ashey Stokes at 603-436-8043 x29 or a.stokes@sscnh.org.