RETURNING Zooteen Applicants This form is intended for current Zooteens applying to RETURN for another year in the Zooteen program. "*" indicates required fields Step 1 of 4 25% Applicant InformationPlease provide contact information about the teen applicant here. Applicants are responsible for their own communications with zoo staff. Applicants should use their own phone and email, not their parent’s. There is space provided at the end of this application for parent contact information. Applicant's Name* First MI Last Applicant's Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Applicant's Cell Phone*Applicant's Email* RequirementsAre you willing and able to…* Attend a camp refresher training class (a 1.5 hr session in May) Contribute the minimum service requirement: Level 2: 40 hrs/yr & 6 days camp; Level 3+: 60 hrs/yr & 8 days camp Continue as a member of the Zoo (free with 60 hours of service last year), or 25% off otherwise) Education & ExperienceSchoolClass of:*List your extracurricular activities:Work ExperienceEmployer (present or prior)Dates of Employment Skills & InterestsWhy do you want to return as a Zooteen?Describe your favorite experiences as a Zooteen. What are your favorite volunteer roles?Describe your least favorite experiences as a Zooteen. What volunteer roles would you prefer not to do?What knowledge, experience, or abilities have you gained as a Zooteen, and how will it help you further your future goals?Did you complete all of the requirements of your training level last year?If NO: please explain why and how you intend to this year. If YES: did you find it difficult to fulfill requirements? What training level do you want to achieve this year? Can you fulfill the annual requirements of that level?Level 2, 3, or 4? Training into Level 3 or 4 is not guaranteed. It may be competitive and Zooteens will be selected based on dedication and excellence in the program. Parent / Guardian InformationParent / Guardian Name First Last PhoneEmail Please note that most communications about trainings, scheduling, updates, etc. will go directly to the Zooteen. Zoo Membership # (if any)Name on Zoo Membership (if any)I understand that if accepted for a volunteer position, I agree to receive training to help me carry out my volunteer activities. I affirm under the penalties for perjury that I have never been arrested or convicted for any offense against children. I understand that my name will be checked out through the Indiana Child Safe program. I further affirm under the penalties for perjury that I have never been arrested or convicted for any offense against animal welfare. I certify that all information provided on this application is true and complete. I understand that falsification or significant omissions of any information may be considered justification for non-acceptance or dismissal if discovered at a later date. I give permission to be listed on the ZooTeen Phone List to be distributed to fellow ZooTeens.Applicant Signature*Date* MM slash DD slash YYYY Parent / Guardian SignatureDate MM slash DD slash YYYY CAPTCHANameThis field is for validation purposes and should be left unchanged.
