Volunteer Application
Date

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Name *
Email *
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Phone Number *

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work or cell Number

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Date of Birth *
How did you hear about us? *
Do you have any special skills, experience or training that would beneficial to volunteering here?
Have you previously participated in a volunteer program? If yes, where & what did you do?
Are there any animals you will not work with or around?
Other than English, do you speak a second language? If yes what language & are you a translator?
What days and times are you available to volunteer? *
Employment Information : Current Employer (If retired, Last Employer) & Occupation
May we contact your employer? If yes please list contact person & phone number
References: List three individuals not related to you that have known you for at least two years: (Name, phone number, job position, organization, how long)
Medical Information:
Do you have any medical or physical conditions we should be aware of so that we can respond appropriately in an emergency? *
Do you have any of the following?
 Allergies 
 Heart problems 
 eye problems 
 Asthma 
 Back problems 
 Diabetes 
 Siezure 
 other 
If you checked other above please explain:
Are you able to lift items weighing up to 50 lbs
 Yes 
 No 
Have you ever been convicted or found gullty of a first degree misdemeanor or a felony?
Please explain, list dates, Offense and disposition: *
How did you hear about us? *
I recognize that in handling animals and performing other volunteer tasks that there exist a risk of injury including physical harm. I hereby release Majical Miniatures from all liability. If approved I will be required to sign a printed application. Plea *
*It is our policy to perform background and/or drug screen checks on all applicants.
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