Work Experience Form Please complete the form below Online applications for Work experience students Personal detailsName* First Last Date of birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Address Line 2 City ACTNSWNTQLDSATASVICWA State Postcode PhoneEmail Emergency ContactName Relationship PhoneQuestionsWhy are you interested in the volunteer program at the National Zoo & Aquarium?Where did you hear about our program?Have you any training or experience in this area of work?Have you done any volunteer work in the past, if so, where?Have you got a history of physical or mental illness that zoo staff should be aware of? Yes No Please select the following* Asthma Epilepsy Chronic Fatigue Heart Condition Back problems Arthritis Repetitive strain injuries Do you suffer from any allergies (e.g. fish, hay fever, mould)? Yes No Is there anything which would make you unsuitable for certain types of volunteer activities?I am at least 18 years of age* Yes No I understand that I will need to commit to a 10 day work period (Mon-Fri) over two consecutive weeks* Yes Are you up to date with your Covid-19 Vaccinations and will you be able to provide confirmation of this during your induction* Yes No I am a...* Tertiary student from an educational institution Private work experience applicant CAPTCHA