Application form: Canterbury region

Volunteer activity

What type of wildlife response are you applying for? Marine mammal response Bird response/transportation Both

Contact details

Name

Phone

Email

Address

Personal details

Are you at least 20 years old? Yes No

Are you fluent in English? Yes No

Country of residence

Emergency contact

Try to have an emergency contact that is based in New Zealand.

Contact name

Contact phone number

Medical conditions

For your own health and safety, it is important to note any pre-existing medical conditions, allergies, past injuries or special dietary needs.

Do you have any relevant medical conditions?

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

Fitness

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

Licences and certificates

What type of drivers licence do you have?

What type of first aid certificate do you have?

Are there any other relevant licences or certificates that you have?

Relevant skills and experience

Do you have any previous experience with wildlife response, for example handling birds or identifying marine mammals?

Are you happy to use your own vehicle to transport birds within a cage? Yes No

Do you have suitable equipment for this role like sturdy boots? Yes No

Is there anything you'd like to add to your application?

Volunteer application form

Introduction

Timaru wildlife response volunteers – application form