2. 
4. Name*
5. Email Address*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
14. I am over 16 yrs old*

    1. Yes
    2. No
18. EMPLOYMENT
20. Occupation*
21. Employer*
23. Business Adress*
25. Skills and Interests
29. EDUCATION
31. College
    Complete all that apply
32. High School
36. EMEGENCY CONTACT INFORMATION
38. Name*
39. Relationship*
41. Phone Number*
45. DAYS YOU ARE WILLING TO VOLUNTEER*

    (Check all that apply)

    1. Sunday
    2. Monday
    3. Tuesday
    4. Wednesday
    5. Thursday
    6. Friday
    7. Saturday
46. TYPE OF VOLUNTEER OPPORTUNITIES AVAILABLE*

    (Check all that apply)

    1. Animal Care (non-Intern)
    2. Internship (limited availability)
    3. Docent/Tour leader
    4. Greeter
    5. Special Events
50. Have you had previous experience working with children and young adults?
    (Please Describe)
52. How did you hear about the Phillips Park Zoo's volunteer opportunities?
56. References
58. Name*
59. Email Address*
61. Phone Number*
65. Name*
66. Email Address*
68. Phone Number*
72. I understand that in signing this application, I agree to be guided by the rules and regulations of the City of Aurora and the Phillips Park Zoo. I affirm that the information I have given on this form is true and correct.
74. Electronic Signature Agreement

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
76. Electronic Signature
Leave This Blank:


78. 1. Receive an email copy of this form.
79. Email address

    This field is not part of the form submission.

80. Submit Submit and Print

* indicates a required field