Name* Mr.Mrs.MissMs.Dr.Prof.Rev.Mx.None Prefix First Last What are your pronouns? She/her/hers He/him/his They/them/theirs Address* Street Address Apt./Unit City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Cell Phone*At which CHS location do you want to volunteer?*NewingtonWaterfordWestportDid you watch the volunteer virtual open house presentation? (This is a requirement to apply.)* Yes No What is the code word at the end of the presentation?* Are you 18 or older?* Yes No Do you have active health insurance?* Yes No CHS practices limited euthanasia for medical and behavioral reasons. Do you agree to be respectful of these decisions?* Yes No Do you have reliable transportation?* Yes No Have you been convicted of a crime in the past 7 years?* Yes No Please list the nature of the offence.What types of animals are you interested in fostering? Check all that apply.* Dogs under 50 lbs. Dogs over 50 lbs. Cats Small animals (rabbits, guinea pigs, etc.) Check the areas you are interested in.* Medical Cases Training/Socialization Pregnant Animals Mothers with Litters Infants (Bottle Feeders) Crisis Fostering (owned pets) Tell us about yourself and why you want to volunteer for the Connecticut Humane Society.*Describe any experience you have owning or caring for pets. Please provide species/breed.Do you have any professional or volunteer experience working with animals? Please explain.What skills do you have that might be useful to CHS?Have you ever been employed by the Connecticut Humane Society or Fox Memorial Clinic?* Yes No Have you ever submitted an application to volunteer at the Connecticut Humane Society?* Yes No Please list all members of the household. If under 18, list their age.*Do you have any pets currently residing in your home?* Yes No Please list all pets that currently reside in your home (species/breed/name).Are all dogs and cats in your home current on their rabies vaccination?All dogs and cats must be current on their rabies vaccination. Proof of vaccination status may be required in certain circumstances, such as a bite between an owned pet and a foster pet. Yes No N/A Are they all spayed/neutered? Yes No Who is your veterinarian? (Name/phone #) Are you able to keep foster pets away from owned pets if necessary?* Yes No Please list any experience you have with training, housebreaking, or socializing animals.How many hours a day would foster pets be left alone?* If your foster pet becomes sick or is experiencing a medical emergency, are you able to get the pet to CHS on short notice?* Yes No Please upload one or more photos of the room where you will be housing the foster pets.* Drop files here or Select files Accepted file types: jpg, png, Max. file size: 256 MB. CAPTCHAThank you for submitting your application to volunteer for the Connecticut Humane Society. Due to the high volume of applications received, please allow up to two weeks to hear back on the status of your application. CHS is not able to process applications that do not meet the basic requirements.
