Date:

Name:

Address: City: ZIP:

E-mail: Telephone: Jacket Size: S M L XL Select

Tell us about yourself: your background, education, work, interests, hobbies, etc.:

Describe any experiences with public education and public service (dates, locations, duties):

Please list any experience with local environmental or community service organizations:

Please tell us why you are interested in the Friends of the Elephant Seal docent training program.:

Do you have any physical or medical conditions which would hinder you in performing docent duties in the field? Yes No If yes, please explain:

Please check which of the following best describes you:

I enjoy active interaction with large groups of people in a variety of public and field settings.
I prefer one-on-one, low-key contact. I believe that I am better suited to office or operations support.

Please check one or more:

I would like to participate in the docent program on the Bluff.
I can offer grant writing or fundraising experience.
I can offer special event support -- booth setup, staffing, miscellaneous.
I would like to work in the outreach program -- slide show, etc.
I am unable to participate at this time, but keep me on your mailing list.
I am available for the spring training program.
I am available for the fall training program.