Name (s)

Street address

City

State Zip Code

Email Address

Phone: home Cell

Number of people in your RV

Type of camper/RV

Length of RV

Is your RV fully contained? yes no

Type of heat used:  
Please note: electric heat is not allowed at SHF due to financial constraints on our non-profit, and no generators are to be used as they disturb the natural quiet of our location.

Full timers or part-timers?:

How long have you been RVing?

Anyone in the RV a smoker? yes no
Please note: SHF is a non-smoking rescue center.

Have you Workamped before? yes no

Length of stay desired?   During which months?

Scheduling needs, if any:

Other specific needs, if any:

Please list any animals who travel with you:
Please note: all cats & dogs MUST be up to date on their rabies & distemper- combo vaccines and fecals. Boosters & lab work, if needed, are available at SHF for a nominal fee. All dogs MUST be on heartworm preventative.

Do you have any special skills in construction, landscaping or veterinary medicine, or other special talents you'd like to tell us about?

Of the following common tasks at SHF, which would you prefer to do? construction land clearing landscaping fundraising sewing general cleaning RV maintenance dog training for kids

Why would you like to join us at Safe Harbor?

Please give us the contact name, phone number(s) and details of TWO working references: