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
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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.
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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.
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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.
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
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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
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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.
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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
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