Quaker Parakeet Society

Rescue and Placement Program

Volunteer Application

�

First Name: _________

Last Name:___________

Are you over 18 years of age?_

(if under 18, see *note* at bottom)

Address:_ _____________

Box or Apt.:___________

City:_______________________

State:___________________Zip:_______

Home Phone#:________

Business phone#:_____

Cell#:____

E-Mail Addy:____

Profession:_____

Check one or more areas of RAPP volunteering you may

be interested in:

_______fostering

_______transport

_______adoption

_______RAPP Support (support, education and mentoring)

How many hours per week do you have for volunteer work?

Do you have a valid driver's license? ______

Do you own or have access to a vehicle? _______

How far are you willing to travel to participate in

transport, placement or rescue?_____

Do you presently own 1 or more Quaker Parrots?____

If yes, how many?_______

Do you presently own other species of birds?_____

If yes, what species and how

many?_______

Do you breed birds?_____

If yes, as a _____hobby or _____source of income

Does your residence allow space for quarantine?______

Do you use an avian vet/vet?_____

If yes: name of avian vet/vet:__________

Phone #:______________________

Have you adopted, rescued or fostered birds in the

past?, (not including those birds purchased through pet stores or

individuals):___________

Do you have equipment that may be necessary for

transport, fostering or adoption? (i.e.: travel cages,

extra cages):_______

Are you currently a member of any bird clubs, societies and/or

discussion groups?________

Please list:______________

Why do you want to become a volunteer?�

How did you hear about QPSRAPP and what motivated you to apply

as a volunteer:________

Upon submitting, this form will be sent for review to the QPSRAPP committee.

Please be advised that there may be a waiting period before becoming an eligible adopting volunteer. You will receive a response from the committee shortly, including the QPSRAPP Welcome Letter. If you experience any difficulties sending the application, it can be copied and pasted into email and sent to: [email protected] or [email protected] or sent by regular mail to:

QPS-Rescue and Placement Program

2475 Crescent Ave.

Eugene� OR� 97408

Thank you for volunteering and helping to change the world one Quaker Parrot at a time. �

QPSRAPP has the right to decline any application that would appear unable to conform with, or be in conflict with, required QPSRAPP volunteering guidelines*

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*NOTE*

If applicant is under 18 years of age, you must print this application and have a parent or legal guardian sign it and have it notarized, then mail it to the above address.