Sunset Zoo Teen Volunteer Application

Please complete this application form if you are interested in becoming a Sunset Zoo Teen Volunteer. Once you complete the form, click the submit button at the bottom.

Name and address

Please include your full middle name.

First name:

Last name:

Middle name:

Nickname:

Street 1:

Street 2:

Street 3:

City:

State:

* Zip: *

Primary Contact Number

This can be a cell phone, home phone, or work phone.

Home phone:

* OK to call me here

Work phone:

OK to call me here

Cell phone:

OK to call me here

Email address:

Demographic Information

This information is required for our Kansas Department of Health and Environment (KDHE) School-age Program License. KDHE requires this information for the background checks they run on all staff and volunteers.

Date of birth:

Gender:

Race/Ethnicity:

School:

Detailed Self-identified Ethnicity:

Emergency Contact

This should be someone local or within a couple of hours driving distance from Manhattan.

1

2

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

* OK to call here

Home phone:

* OK to call here

Work phone:

OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship:

3

First name:

Last name:

Street 1:

Street 2:

Street 3:

City:

State:

Zip:

Home phone:

* OK to call here

Work phone:

OK to call here

Cell phone:

OK to call here

Email address:

Relationship: