internship form - Cougar Mountain Zoo

Cougar Mountain Zoological Park Internship Application

Online Internship Application

Program Selection*
Please choose which Program this application is for. Program I is a commitment of 320 hours, 3-5 days per week. Program II is a commitment of 420 hours, 4-5 days per week.
- Program I - 320 Hours
- Program II - 420 Hours
Name*
First Last
Birth Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Emergency Contact*
First Last
Emergency Contact Phone*
Relationship*
General Information
1) Which best describes you?*
Please choose any that apply
- Attending College
- Graduated College
- Working Part Time
- Working Full Time
- Unemployed
- I am interested in gaining experience in the zoological field
2) Relevant Experience*
Please describe any experience related to animal husbandry, animal education or zoological institutions.
3) Education*
Please describe your education background, current status, area of focus and objective.
4) Course Credit*
Will completion of this internship be applied towards course fulfillment or college credit?
- Yes
- No
School Intern Coordinator Name*
School Intern Coordinator Email*
5) Criminal History*
Have you ever been convicted of a misdemeanor or felony?
- Yes
- No
Please provide details.*
6a) Physicality*
Do you have any physical limitations, allergies, etc?
- Yes
- No
Please provide details.*
6b)*
Can you routinely safely lift or handle 50-80 pounds?
- Yes
- No
7) Certifications*
Are you certified in any of the following? Select any that apply.
- CPR
- First Aid
- Other
- None
CPR Certification Expiration*
MM slash DD slash YYYY
First Aid Certification Expiration*
MM slash DD slash YYYY
Other Certfication*
8) Health Coverage*
Do you have continuous comprehensive, personal, medical, health, hospitalization insurance?
- Yes
- No
9a) Health*
Do you smoke or vape?
- Yes
- No
9b)*
Are you willing to take a drug test?
- Yes
- No
10) Driver's License*
Do you have a valid, current Driver's License?
- Yes
- No
Issuing State*
11a) Risk Acknowledgement*
Do you understand the risk and consequences of contracting communicable zoonotic diseases from any animals you may encounter and are you willing to subject yourself accordingly?
- Yes
- No
11b)*
Do you fully understand that in the course of working with animals of ANY species you may be subject to serious physical injury or death and are you willing to subject yourself accordingly?
- Yes
- No
CV and Cover Letter*
Please upload a copy of your current CV or Resume and a Cover Letter.
Drop files here or

Accepted file types: pdf, jpg, doc, Max. file size: 1 MB, Max. files: 2.
Accuracy Statement*
I certify that the information in this form is accurate.
By selecting this box I certify that the information on this form is accurate. In the event that it is discovered that false information is provided on this form, I understand that the internship application process or internship will be terminated. Any fees already paid to Cougar Mountain Zoo, Zoological Society of Washington will be forfeited and non-refundable.

Cougar Mountain Zoo

The mission of the Cougar Mountain Zoo and Zoological Society of Washington, a non-profit, tax-exempt, charitable 501(c)3 organization, is to increase the understanding and appreciation of the Earth’s irreplaceable wildlife and the role of humanity in nature through education, conservation, propagation and exhibition.

Information

19525 SE 54th Street
Issaquah, Washington 98027

Cougar Mountain Zoological Park Internship Application

General Information

Cougar Mountain Zoo

Information

info@cougarmountainzoo.org

Additional Links

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