Please complete this application form if you are interested in becoming a Jr. Camp Counselor for Zoo Camp. Once you complete the form, click the submit button at the bottom.

IMPORTANT: A reference letter (from an adult other than a relative) must also be submitted to the Volunteer Office in order to participate in this program. You can have them complete an online reference form on our website or instruct them to send a hard copy to: Santa Barbara Zoo 500 Ninos Dr. Santa Barbara, CA 93103

Fees:

$85 New Teen Volunteers

$45 Returning Teen Volunteers

(fees cover training and uniform)

Personal Information

First name:

Last name:

Nickname:

Street 1:

Street 2:

City:

State:

* Zip: *

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Date of birth:

Gender:

T-Shirt size:

School:

Tell us why you are interested in becoming a ZooTeen volunteer:

How did you hear about volunteering?

What best describes your reason for volunteering?

Parent/Guardian Information

Please list your parent/guardian information below:

1

2

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Email address:

Relationship:

References

Please list one reference. (Preferably, the person you will ask to write the reference letter.)

First name:

Last name:

Home phone:

Email address:

Relationship:

Emergency Contact Information

1

2

First name:

Last name:

Street 1:

City:

State:

Zip:

Home phone:

Cell phone:

Email address:

Relationship:

Training

Select training time/date that works for you. Contact Volunteer Office to scheduling alternatives.

Times

Assignment

Please read and agree to the following:

By completing and submitting this form, I acknowledge that I am personally offering my services as a volunteer to the Santa Barbara Zoo solely for civic, charitable or humanitarian reasons, without promise, expectation, or receipt of compensation or benefits.

I understand that my work assignments may bring me in contact with live animals, and that I may be exposed to potential hazards and risk of personal injury and property damage or loss arising from my participation as a volunteer, intern or practicum student with the Zoo. I hereby release the Santa Barbara Zoo, its officers, employees, and agents from liability for any and all claims, actions, obligations, costs, losses, or demands of any kind arising out of participation in this program.

I also authorize the Santa Barbara Zoological Gardens to use my name and photograph as a participant in Zoo programs for publicity/educational purposes related to the Zoo. I understand that no compensation will be provided.

I hereby certify that all statements made in my application are true and complete, and I understand that any misstatement of material facts will subject me to disqualification or dismissal.

I Agree