Technical Volunteer Application

Form updated: 16-Mar-2007

ABOUT THE APPLICANT	* Fields are mandatory.
Name: *
Email: *
Address: *
City: *
Province/State: *
Postal/Zip Code: *
Residence Phone (area code): *
Business Phone (area code):
Fax (area code):
Emergency contact:

ABOUT THE POSITION

Have you read the technical volunteer position description? Yes No

Why are you interested in volunteering with the Tetra Society of North America in this capacity?

How would this volunteer position fit into your current schedule and personal goals?

Please describe, in detail, how your skills/qualities fit the requirements of this position. (Technical designation, related work/training, etc.)

How did you hear about this volunteer position?

RELATED EXPERIENCE

Please list any previous volunteer involvement:

	Organization	Position	When
1.
2.
3.

Current (or if retired, immediate past) employer:

Organization:
Title:
Dates:

List duties:

REFERENCES

Please list two references, at least one of whom has knowledge of your technical skills/abilities relevant to the Technical Volunteer position that you are applying for.

	Name	Capacity Known	Phone	Years Known
1.
2.

Are you willing to undergo a police records check?

Yes No

DO YOU AUTHORIZE THE TETRA SOCIETY OF NORTH AMERICA TO COLLECT PERSONAL INFORMATION APPROPRIATE TO THE POSITION YOU ARE APPLYING FOR CONCERNING YOUR ACADEMIC AND PROFESSIONAL BACKGROUND, AND TO VERIFY THE CHARACTER REFERENCES THAT YOU SUPPLIES - WITH THE UNDERSTANDING THAT THE INFORMATION OBTAINED WILL BE KEPT CONFIDENTIAL, EXCEPT AS OTHERWISE BY LAW?

Yes No

I understand that this application does not imply acceptance to be a volunteer with the Tetra Society of North America. Selected applicants will successfully complete an interview, reference checks, and participate in appropriate orientation and training. Clicking the SUBMIT button indicates my understanding of this process, and declaration that the information provided on the form is true to my best knowledge.

You must check the 'I Agree' checkbox to validate this form:

I AGREE: