Volunteer application form - moon bear rescue centre
Position you are applying for?
Requested location*
Name
Gender
Age
Date of birth
Nationality
Address
Contact Telephone
Email
 
MEDICAL AND FITNESS DECLARATION:
Do you suffer from asthma, epilepsy or diabetes?
Do you have any severe allergies?
Have you ever had any heart disorders?
Do you take any medication on a regular basis?
Have you ever taken medication for depression?
Have you ever had any psychological or psychiatric illness (including eating disorders)?
Do you have any disabilities or other medical conditions?
If you have answered yes to any of the above questions, please provide further details:
 
* We will try to place you in either China or Vietnam as you request, but placements depend solely on the needs of the rescue centres and the discretion of the veterinary team.
I have read the above and understand that I may not be offered a placement in my chosen location. I also confirm that the statements made by me above are true.

Please print and sign this form, then send with your CV by fax or email

Animals Asia Hong Kong Head Office:
Email: [email protected]
Fax: 852 2791 2320

If you have any enquiries, please contact us at [email protected]
 
Signature: _________________________________