WildCare

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Name:

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Email: Required

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Street 2:

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Question - Required - Referral Source (how did you hear about WildCare's Internship Program):

Student Applicants (18 or older)

Question - Not Required - School attending:

Question - Not Required - Supervisor contact:

Question - Not Required - Supervisor phone:

Question - Not Required - Supervisor email:

Question - Not Required - Current year in school:

Question - Not Required - Major / Minor:

Question - Not Required - GPA of last completed term:

Graduated Applicants

Question - Not Required - Please list degree(s) / diploma(s) received and year:

(Maximum response 255 chars, approx. 5 rows of text)

All Applicants

Question - Not Required - Please provide a brief employment history. Include employer, dates, your position and responsibilities. You may copy and paste your resume into this space.

Question - Not Required - Why do you want to do an internship at WildCare? What interests you about this organization?

Question - Not Required - Describe any wildlife and/or domestic animal-related training and/or experience:

Question - Not Required - What do you expect to get out of this internship? List at least 3 possible goals:

Question - Not Required - Do you have reliable transportation? (Please note: public transit is not reliable to/from San Rafael)

Question - Not Required - Do you have current rabies vaccines (not required)?

	Yes
	No

Question - Not Required - This is a very time-consuming, physically and emotionally demanding internship. Do you have any physical or other limitations that might hinder you from participation in some activities of successful completion of the internship requirements (such as a heart condition, back injury, allergies, etc.)? If yes, please explain:

Please list two professional references that have known you for one year or longer.

First Reference

Question - Not Required - Reference name:

Question - Not Required - Relationship to you:

Question - Not Required - How long has this person known you?

Question - Not Required - Reference telephone:

Question - Not Required - Reference email:

Second Reference

Question - Not Required - Reference name:

Question - Not Required - Relationship to you:

Question - Not Required - How long has this person known you?

Question - Not Required - Reference telephone:

Question - Not Required - Reference email:

Internship Terms

Question - Not Required - Internship terms may be flexible for the right candidate, however generally terms run on the following schedule. Please indicate your preferred internship term:

	May through July
	June through August
	July through September

Essay Question

The medical staff is temporarily unavailable, detained treating an emergency case. The Humane Society officer comes from the shelter and gives you three boxes. She tells you that one contains an opossum hit by a car; one holds 3 featherless baby birds whose nesting tree was cut down, and the last is a gull. What do you do?
(We realize you may not have any animal hospital experience. Please answer the question to the best of your ability. We are not looking for you to know medical treatments or diagnoses.)

Question - Not Required - Essay answer: