Cat Tales - Zoological Training

Cat Tales - Zoological Training Center
Application For Admission
N.17020 Newport Hwy, Mead, WA, 99021

PERSONAL INFORMATION

Name (last)__________________________________ (first)___________________ (middle)______________
Address __________________________________________________ City __________________________
State or Province____________________________ Country _________________ Zip or Postal Code _______
Daytime phone ( _____) _____________________ Evening phone (_____) _______________________
Social Security Number ______________________________________
Birth date _____________________ Sex: Male ____ Female _____
Marital Status ____________________
In case of emergency, please contact: ___________________________________ phone ( ___ ) _____________
Do you suffer from allergies ? yes _____ no _____
If yes, please explain ________________________________________________________________________

Height _________ Weight __________ Hair Color __________ Eyes __________ Blood Type __________

Zookeeping is a very physically challenging profession which requires good physical health and keen senses.
Please list any physical limitations which may impose a difficulty in carrying out this type of training:
________________________________________________________________________________________
Drivers License Number ___________________________________________
Issuing State or Province __________________ Issuing Country___________
Have you ever been arrested for, charged and/or convicted of any crime involving animal abuse?
Yes ____ No _____
If yes, please explain _________________________________________________________________________

EDUCATION:

Last High School Attended:
Name _______________________________ Location____________________ Graduation Date/G.E.D. ________
Last College Attended:
Name ________________________________Location____________________ Proposed Major ______________
Highest year completed or Degrees Acquired:_____________________________________

PERSONAL REFERENCES

Name (last)________________________________________ (first)__________________ (middle)____________
Address _______________________________________________________City ________________________
State or Province___________________________ Country ____________________ Zip or Postal Code _______
Daytime phone ( _____ ) __________________________ Evening phone ( _____ ) ________________________

EXPERIENCE: List experience you have working with animals, in a zoological park or related facility.

Facility ________________________________________ Location__________________________
Supervisor's Name ______________________________ Your Position _____________________
Species You Worked with Directly ____________________________________________________________

IN YOUR OWN WORDS: Please describe in detail, on a separate hand written page, why you desire to become a zookeeper and what you feel you can contribute to the profession of Zookeeping.

All of the information on this application is true and correct.

Signature ________________________________________ Date _____________________

Applying for (check one and fill in year)

Winter, January _____

Spring, April _____

Summer, July _____

Fall, October ______,

in the year, 20_____

Send this application and the $50.00 Registration Fee (non refundable)

to the address at the top of the page for processing

Enclose a Current Photograph of yourself.

REMEMBER TO FOLLOW THROUGH WITH THE OTHER REQUIRED DOCUMENTS

Form# CTZTC05