Name *

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

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Home Phone

(###)

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Emergency Contact Name *

First Name

Last Name

Emergency Contact # *

(###)

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First Reference *

First Name

Last Name

Phone - Reference 1 *

(###)

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Second Reference *

First Name

Last Name

Phone - Reference 2 *

(###)

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Areas of Interest *

Docent Langley Whale Center (Training will be provided)

Youth Activities at Langley Whale Center

Assist with Orca Network sponsored/hosted events such as Ways of Whales (January), Welcome the Whales (mid-late April), Orca Month (June), and others.

Assist with staffing/tabling Orca Network education/outreach events

Travel to volunteer at festivals and events

Whale Sighting Network (please complete Sighting Network Addendum below)

Marine Mammal Stranding Network (please complete Stranding Network Addendum below)

Administrative

Tech support

Fundraising

Age *

I am 18 or older

I am under 18 years old (parent's name required)

By providing your email address you are granting us permission to contact you via email. We do not share your information outside of Orca Network. The program coordinator will check in with you on an annual basis. If we do not hear back that you would like to be removed as an active volunteer, we will keep you on the list. Additional forms will be sent to those interested in the Whale Sighting Network or the Marine Mammal Stranding Network. *

If required due to the nature of the work, I agree to have a Washington State Background check

By checking this box, I certify the information provided in this application is true and correct to the best of my knowledge.

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