Wildlife Rehabilitators Network of New Zealand
Application for Membership
Section 1
Please complete for all applications
Full Name of Applicant
(or corporation if a corporate
applicant)
Postal Address
Your Facility Address
Primary:
Email addresses
Phone
Please Tick Class of
Membership applied for
and complete indicated sections
Alternative:
Home
Mobile
Individual
Associate
Corporate



Work
Please complete Sections 1, 2 & 5
Please complete Sections 1, 3 & 5
Please complete Sections 1, 4 & 5
Section 2
Please complete this section for INDIVIDUAL Member applications plus sections 5
Do you work with any wildlife that is either fully or partially protected* under the Wildlife Act 1953?
* Unprotected wildlife is included in Schedule Five of the Act
If YES
Authority to :
What are your DOC Authorities, expiry dates
and Numbers?
Expiry Date:
/
/
Number:
Authority to :
Expiry Date:
Authority to :
/
/
YES / NO
Delete one
Number:
Expiry Date:
/
/
Number:
Please indicate what species (or group of birds) you have expertise (E) or interest (I) in
Species/Group
E/I
Species/Group
E/I
WReNNZ acknowledges that most people are not able to comply with all the Minimum Standards for Rehabilitators but
expects that members will be constantly striving to improve the quality of their rehabilitation work.
Please compare your work with the Minimum Standards document provided in your application kit and rate your level of
compliance to each of the Standards and comment on how you could improve.
3. Assessment
4. Care and Nursing Support
5. Rehabilitation for release
6. Release Criteria
7. Release
Not
Compliant
2. Stabilisation
Partially
Compliant
1. Animal Admission
Generally
Compliant
Standard
How I could improve my operation
8. Human Interest
9. Skills Required
10. Signs of Illness
11. Hygiene
12. Housing Design
13. Human Health and Safety
14. Hygiene and Disease Transmission
15. Euthanasia
Please describe the facilities you use in your rehabilitation work. Attach photographs if you wish.
Who else helps you in your facility?
Section 3
Please complete this section for ASSOCIATE Member applications plus sections 1 and 5
Associate Members need to show an interest in the preservation, conservation and rehabilitation of wildlife and will not
usually be actively rehabilitating wildlife. Please describe your interest in wildlife rehabilitation. You may include people
you help, studies you have undertaken or are undertaking and anything else that would support your application.
Continue on next page
Section 4
Please complete this section for Corporate Member applications plus sections 1 & 5
Name of Contact Person
Postal Address
Email address
Phone
Cell phone
In what way is your corporate membership able to support the work of WReNNZ?
First person appointed for Individual Membership
Name
Second person appointed for Individual Membership
Name
Address Do we need to state mailing or physical?
Address Do we need to state mailing or physical?
Email
Email
Phone
Phone
Cell Phone
Cell Phone
NB these Appointments can be changed annually. If they are changed please notify the Secretary
Section 5
Please complete this section for ALL applications
Any network is only as effective as the members input. WReNNZ needs support from its members in a wide range of
ways. To make full use of the skills that members possess we need to know what skills, knowledge, services and abilities
our members have. Please list below attributes or skills that you will bring to the network. These might include veterinary
skills, bird skills, bird knowledge, publishing, photography, training, administration, building, design or any one of a wide
range of skills. You may be interested in helping develop published resources, serving on a committee, etc. We need
your help to grow and develop this network.
This is my application for membership of the Wildlife Rehabilitators Network of New Zealand.
I have received a copy of the Rules of the Wildlife Rehabilitators Network of New Zealand and The Minimum Standards
for Rehabilitators.
I agree to abide by the rules of the Wildlife Rehabilitators Network of New Zealand.
I agree to the information contained in this application to be made available to other members of the Wildlife
Rehabilitators Network of New Zealand to help develop the national network and its members.
Applicants Signature
Secretary Rec’d Date
Date
Membership
Accepted / Declined
Applicant Notified Date
Post with your Application Fee to:
Website Updated
Register Updated
The Secretary,
WReNNZ
P.O. Box 25, Rotorua, 3040