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Wildlife Welfare Trainee Form

* Wildlife Welfare recommends that you do not apply for a NC Wildlife Rehabilitation license until

you have gone through a training session. Must be 18 to obtain a license.



Date:



Name:



Address: (Street, City, State, County and Zip code)



E-mail Address:



Home Phone: Cell Phone: Work Phone:



Age: (if under 25): * Rehabbing is an adult activity. It is not suitable for college students or children.

Older children can assist with close supervision of parent who is a rehabber.



What wild mammals would you be interested in working with? Rabbits, Squirrels, Opossums or Other



Do you work full time or part time?



Do you have children at home?



What kind of pets do you have?



Do you live in an apartment or house? If a house, then do you have a yard with trees suitable for a cage and release of

squirrels?



Do you have a room in your apartment or house away from your pets and children to keep wildlife?



If you have outdoor caging, then list cage size and wire size.



Can you build an outdoor cage if needed? Outdoor cages (5-6 ft tall) are built with ½ x ½ inch wire. Wire can be

bought at Lowes



Can you provide feedings every 3 or 4 hours throughout the day?



Do you go out of town a lot?



Describe any experience with wildlife rehabilitation.



Have you had any previous training with wildlife?



List any wildlife rehabilitators or vets that you have worked with and in what capacity.



Would your vet be willing to work with your wildlife animals?



References (at least two with names, addresses and phone numbers)



List any permits (state and/or federal)



List any other wildlife organizations that you are a member of.



How did you hear about our training classes?



Please e-mail to Txhoover@wildlifewelfare.org or send to Wildlife Welfare, Inc., PO Box 19432, Raleigh, NC 27619-

9432



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