Mission Viejo Animal Services Explorer Application

Application must be legible and completed by the applicant only. Answer questions honestly and accurately. False statements or omissions are grounds for disqualification.

Application does not guarantee selection.

Name

Address

City

ZIP

Primary Phone

Secondary Phone Number

Are you between the ages of 14-18?

Yes

Current School

Current GPA

Currently Employed?

Yes

Employer

Title

Employer Address

Employer Phone

PARENT/LEGAL GUARDIAN INFORMATION

Name

Relation

Address

Phone 1

Phone 2

EMERGENCY CONTACT INFORMATION

Emergency Contact 1 Name

Relation

Address

Phone 1

Phone 2

Emergency Contact 2 Name

Relation

Address

Phone 1

Phone 2

EXPLORER QUESTIONAIRE

Please answer the below questions to the best of your ability. Your responses should be clear and consise. Grammar and punctuation will be considered as we review your application.

Do you have any animal handling experience? If yes, what?

Do you want a career working with animals? If yes, what type of career?

Have you ever been part of an explorer program? If yes, where and when?

Have you ever been turned down by an explorer program? If yes, which program and when?

If selected, can you be punctual and committed to meetings, workshops, events, assignments, and other explorer-related activities?

Yes

In a brief paragraph, explain why you want to take part in the explorer program and why you should be selected.

I attest that the information provided by me is accurate, honest, and complete to the best of my knowledge. I also attest the application was NOT filled out by a second party. I understand any omission and/or any false information provided by me is grounds for disqualification or dismissal. I further understand this completed application does not guarantee selection into the Mission Viejo Animal Services Explorer program.

EXPLORER APPLICANT SIGNATURE

Sign above

Explorer Applicant Full Name

Signature of Parent/Legal Guardian (If under 18)

Sign above

Full Name of Parent/Legal Guardian