Volunteer application form

Volunteer activity Wildlife Response Squad

Contact details

Full name (as on passport)

Preferred name

Phone

Mobile

Email

Address

Check your address is correct and in full.

Personal details

Country of residence

Emergency contact

Contact name

Contact phone number

Medical conditions

For your own health and safety, do you have any pre-existing medical conditions, allergies or past injuries and special dietary needs that DOC needs to know?

Enter if applicable:

Do you give consent to have your medical information shared with your nominated emergency contact? Yes No

Fitness

Volunteer activities span a range of fitness levels. Some activities need a specific fitness level.

What is your fitness level? Low - you can easily walk up to 2 hours over flat ground Medium - you can comfortably walk with 5 kg pack up to 4 hours over uneven ground High - you are capable of walking with 10 kg pack up to 6 hours over uneven ground Very high - you are experienced at walking consecutive days with 10+ kg pack over steep, rough terrain

Licences/certificates

Do you have the following licences or certificates?

Current NZ driver licence:

First aid:

Others:

Relevant skills and experience

Why would you be a suitable volunteer? Describe your skills and experiences.

Previous volunteering experience

Do you have previous conservation volunteering experience: With Department of Conservation (list previous dates and place below) With other conservation or environmental organisations At other organised events Limited, but keen to participate

List the dates you have previously volunteered with us:

Additional comments relevant to my application:

Would you like to be contacted about future volunteering opportunities?

Yes No