Zoological Society of Washington
Transcription
Zoological Society of Washington
Zoological Society of Washington Cougar Mountain Zoological Park ‘Conservation through Education’ A 501(c) 3 non-profit, tax-exempt, charitable organization Internship Enrollment Information Contents Internship Prerequisites Internship Enrollment Progression Internship Time Commitment Requirements Professional Opportunities Recognition of Achievement Certificate of Completion Internship Program Application (pages 6-10) Cougar Mountain Zoo 19525 SE 54th Street Issaquah, Washington 98027 Phone: 425-392-6278 Email: [email protected] www.cougarmountainzoo.org Intern.title.page/ed.computer Page 1 of 10 Zoological Society of Washington Cougar Mountain Zoological Park ‘Conservation through Education’ Internship Prerequisites Please read through the following requirements. Understanding them will help you become more comfortable with the process of joining Cougar Mountain Zoo’s Intern Program. 1. Candidate must be at least 18 years of age. 2. To enroll one of the following must apply: * Enrolled in a College or University, pursuing an undergraduate or graduate degree. * Earned an undergraduate or graduate degree. * Interested in pursuing or preparing for a career in the zoological field 3. Commit to a part-time or full-time zoo internship curriculum. 4. Provide proof of current Tetanus Shot, Tuberculin test and personal medical coverage 5. Provide documentation of current personal pet vaccinations and recent health history 6. Agree to a routine Washington State criminal history check 7. Sign and agree to all Cougar Mountain Zoo policies governing Internship To apply please complete the Cougar Mountain Zoo Internship application package and forward it accompanied by the internship administration fee to: Cougar Mountain Zoo Education Department 19525 SE 54th St. Issaquah, WA 98027 PHONE (425) 392-6278 FAX (425) 392-1076 EMAIL [email protected] Your application will be reviewed and you will be called for a personal interview. After completions of the personal interview, you will be notified of your status. Intern.requirements/ed.computer Page 2 of 10 Zoological Society of Washington Cougar Mountain Zoological Park ‘Conservation through Education’ Intern Enrollment Progression 1. Forward completed application accompanied by internship administration fee to: Cougar Mountain Zoo Education Department 19525 SE 54th St. Issaquah, WA 98027 PHONE (425) 392-6278 FAX (425) 392-1076 EMAIL [email protected] 2. Set up a personal interview with Cougar Mountain Zoo intern coordinator. 3. After the completion of your interview you will be notified of acceptance in the program and starting date. 4. During your first day as a Cougar Mountain Zoo intern you will be acquiring your uniform, manual, radio, become familiar with zoo personnel and exhibits and receive your intern schedule. Intern.enrollment.progression/ed.computer Page 3 of 10 Zoological Society of Washington Cougar Mountain Zoological Park ‘Conservation through Education’ Intern Time Commitment Requirements Part Time Intern Curriculum: Two or three days per week. Minimum total hours: 240 hours Offered year round Full Time Intern Curriculum: Four or five days per week. Minimum total hours: 400 hours Offered year round Note: Customized intern programs for institutions are available on a case by case basis. Recognition of Achievement Certificate of Completion Interns successfully fulfilling the pre-established minimum time commitment receive a Certificate of Completion indicating numbers of hours and weeks spent attending the intern curriculum as set forth by Cougar Mountain Zoo. Letter of Recommendation Interns successfully fulfilling the pre-established minimum time commitment receive a letter of recommendation from the appropriate department heads if the intern has submitted a written request. Professional Opportunities From time to time the Cougar Mountain Zoo has position openings for qualified professionals. Completing an Internship Program does not guarantee employment, however, it is customary for Zoological Institutions to give special consideration to those who have proven to possess the ability to become an integral part of a zoological institution. Intern.program.time.committment/ed.computer Page 4 of 10 Intern.program.package.certificate/ed.computer Page 5 of 10 Intern.application/ed.computer Page 6 of 10 Intern.wsp.form/ed.computer Page 7 of 10 Zoological Society of Washington / Cougar Mountain Zoo 19525 SE 54th Street ♦ Issaquah, Washington ♦ 98027 ♦ A non-profit, tax exempt 501(c)3 institution INTERN ANIMAL CONTACT INFORMATION (1) List animals you own and which reside in your household: SPECIES SPECIMENS (2) List Veterinarian(s) who provide care for your animals: (3) List animals you do not own but routinely come in contact with: (excluding Cougar Mountain Zoo animals) SPECIES SPECIMENS I promise to keep the above information current during my tenure as an Intern, and promise to submit to the Zoo physical proof of annual animal care by my Veterinarian(s). _____________________________________________________ Print name ___________________________ Birth Date _____________________________________________________ Signature ___________________________ Date Intern.animalcontactinfo/ed.computer Page 8 of 10 Zoological Society of Washington / Cougar Mountain Zoo 19525 SE 54th Street ♦ Issaquah, Washington ♦ 98027 ♦ A non-profit, tax exempt 501(c)3 institution TB / TETANUS / MEDICAL INSURANCE VERIFICATION NAME (Volunteer or Staff Member): TUBERCULIN SKIN TEST GIVEN: Date Result RN/MD signature 1. A TUBERCULIN SKIN TEXT is required every 12 month. (If you have a positive reaction to the skin rest you will be required to have a follow-up chest x-ray. No further radiographs will be required.) Tests may be taken at your local Health Clinic or given by your personal physician. The TB Test results must be read 48 to 72 hours after the test is administered. Be sure to have the date and result of the text indicated on the appropriate line above. Signature of nurse of physician is required. 2. TETANUS SHOT If you have had the original series of two shots, you will need a booster if you have not had one in the past 10 years. Please check your medical records of consult with your physician. Though you do not have to have a medical person’s signature, you will need to sign this form giving the date of your last tetanus shot. The Tetanus shot is for your protection. DATE OF LAST TETANUS SHOT: 3. MEDICAL INSURANCE You must maintain a comprehensive, personal medical, health, hospitalization insurance without interruption during the entire period of volunteering/employment for the Zoological Society of Washington / Cougar Mountain Zoo. Name of current Comprehensive Health insurance company: Policy Number: Expiration Date: Paid for/Provided by: Signature (volunteer or staff member) This form must be completed Annually or as needed. TB.T.MedIns.Verification/ed.computer Page 9 of 10 Zoological Society of Washington / Cougar Mountain Zoo 19525 SE 54th Street ♦ Issaquah, Washington ♦ 98027 ♦ A non-profit, tax exempt 501(c)3 institution Request to become a Volunteer Animal Handler and Keeper Aide at the Cougar Mountain Zoo I, the undersigned, hereby request to be allowed to become a Volunteer (Intern/Docent) Animal Handler and Keeper Aide at the Cougar Mountain Zoo, Issaquah, Washington I have been clearly told, read, fully understand and agree that by working with Zoo animals regardless the extent of contact, I am subjecting myself to the serious risk of communicating zoonotic diseases, which may bear serious consequences to my health, not excluding death. I also fully understand, was told and agree that all the Zoo animals I may be in contact with are wild, not trained to safely coexist with human beings, are unreliable in their responses and that contact with any of these Zoo animals may result in serious and permanent injury to my person, not excluding death. I also understand and agree that as the result of Zoo animal contact injury of unspecified nature and extent to my person is inevitable in the course of time, not excluding death. I have read, understand and agree to abide by all requirements as listed in the application. I also understand that if my personal medical insurance ceases to be in effect for any reason I will notify the Zoo office immediately and refrain immediately from handling any of the Zoo animals until my policy is fully in effect. Name of current Medical Insurance_________________________________________________________ Paid by________________________________________________________________________________ Expires____________________ Policy No___________________________________________________ I’ve carefully read, was fully explained, understand, and have given careful consideration to the above risks and hereby request to be allowed to become an Animal Handler/Groomer/Trainer/Keeper Aide at the Cougar Mountain Zoo, Issaquah Washington. I indemnify and hold the Cougar Mountain Zoo and the Zoological Society of Washington, a non-profit, tax-exempt 501(c)3 organization, its staff, members, volunteers, management, and Board of Directors free and harmless from any liability arising out of any and all claims, demands, losses, damages, action or judgment of every kind and description which may occur to or be suffered by the undersigned by reason of activities arising out of this agreement or any and all other volunteer activity. _____________________________________________________ Print name ___________________________ Birth Date _____________________________________________________ Signature ___________________________ Date HHarmless2014/ed.computer Page 10 of 10