Safari Ambassador Application
Print, fill out and bring completed application to Wildlife Safari on Friday, February 21st at 5:00pm. We will be meeting in the Discovery Room Theater.

Name______________________________Age___________Grade_____________

School_____________________________Phone___________________________

Mailing Address_____________________________________________________ 

Street Address_______________________________________________________

Have you ever applied to the Ambassador Program before?     Yes______No______

If yes, were you accepted? Yes______ No ______ When?_____________________

Please provide two references not related to you, that you have known for no less than one year. One of the references must be a teacher or school administrator. If you are home schooled you may use someone other than a teacher or school administrator. 

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Name                                  Title                               Phone Number

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Name                                  Title                              Phone Number
 

Please rate the following areas of interest.

Animals                             Exhibit Landscape                       Science Camp Jr. Counselor
1 2 3 4 5 6 7 8 9 10        1 2 3 4 5 6 7 8 9 10                          1 2 3 4 5 6 7 8 9 10

How did you hear about the Safari Ambassadors Program?

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