Prince Edward Point Bird Observatory - Application for assistantship

PEPtBO logo

Volunteer Application

PEPtBO Volunteers

The Annual PEPtBO Baillie Birdathon Is An Important Fundraiser In Which Volunteers Participate

Application for Assistantship

Title:	Mr. Mrs. Ms. Miss.
Name:	*
Email:	*
Address:
City:
Province:
Postal Code:
Home Phone:
Work Phone:
Occupation:
Emergency Contact Name:
Emergency Contact Phone Number:
Ornithological Experience
# years birding:
Of all the species of birds which routinely occur in eastern North America, I am able to identify:	<25% 26 - 50% 51 - 75% >75%
Please describe any banding experience:
Relevant membership in clubs:
Any other relevant info:
Other
Do you have a valid drivers license?	Yes No
Do you intend to bring a vehicle?	Yes No
Do you have computer skills?	Yes No
Do you special relevant skills (carpentry, bird-skinning, etc)?	Yes No
Do you have first-aid/CPR?	Yes No
Are you physically fit?	Yes No
Are you emotionally fit?	Yes No
Do you have good eyesight?	Yes No
Do you have good hand-eye coordination?	Yes No
Do you have any medical conditions we should be aware of?	Yes No
If so describe:
Are you prepared to share a bedroom with other volunteers?	Yes No
Are you prepared to share in duties such as cooking and routine maintenance?	Yes No
What time period(s) are you available:
Please provide us with the names and phone numbers of two references who can vouch for your character:

To submit this form, please enter the 6 characters you see in the image above:
	*