Student Application Form

Name

First Last

Address:

Phone:

Email:

D.O.B.

Do you have any medical illness?

Yes

Do you have any allergies?

Yes

Do you have Health Insurance?

Yes

If you do not have health insurance coverage, do understand that expenses from possible injury will be paid by you personally and not by Happy Pets.

Initial:

Guardian Signature:

Why would you like to volunteer/work at Happy Pets Animal Hospital?

Have you ever worked/volunteer at any other animal care facility?

Yes

Volunteers/Summer students are an important part of Happy Pets and we welcome those who wish to participate.

You must be over the age 13 to become a volunteer or summer student, however if you are not over the age of 18 you must have a parent or guardian’s consent and contact information on file.

Summer students will be handed a contract to review and sign along with their summer schedules and duties. Volunteers will be given duties on a daily basis.

If under the age of 18 please have Guardian fill out the information below;

Guardian’s Name:

Relation:

Phone (Day):

Phone (Evening):

I confirm that the above information is true. I agree to adhere to all of Happy Pets procedures, policies, rules and regulations.

Signature:

Guardian’s Signature:

Start Date:

End Date:

1951

Student Application Form

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