Shares 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 Address Line 2 City State / Province / Region ZIP / Postal Code Email* Land LineCell PhoneAt 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 was the code word at the end of the presentation?* Are you 18 or older?* Yes No Do you have active health insurance? (Health insurance is required for all volunteer positions.)* Yes No Are you ready to commit to at least 6 consecutive months of service?* Yes No Do you understand that CHS practices limited euthanasia for medical and behavioral reasons, and will you be understanding and respectful of these decisions?* Yes No Are you ready to be an outstanding volunteer?* Yes No Do you have reliable transportation?* Yes No Which of the current volunteer openings (job title and shift) are you applying for? Please list first and second choice.* Are you able to meet the requirements of your chosen position?* Yes No Are you available the same day and time each week for a regular shift?* Yes No Are you able to work independently with limited supervision or will you require support from a trained parent or guardian?*I can work independentlyI will require support from a trained parent or guardianHave you been convicted of a crime in the past 7 years?* Yes No If you have been convicted, please list the nature of the offence.Highest Education LevelElementarySecondaryHigh SchoolAssociate DegreeUndergraduatePost-GraduateAre you currently in school? Yes No If yes, please list the name of the school. Are you currently employed?Full-timePart-timeSelf-employedUnemployedRetiredPlease list your job title, name of current employer, and tell us a little about your current job description.Please list previous work experience.Why do you want to volunteer for the Connecticut Humane Society?What types of animals have you owned? (List species/breed)Do you have any professional experience working with animals? Please explain.Please list previous volunteer experience.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 applied to volunteer at the Connecticut Humane Society or Fox Memorial Clinic? Yes No I verify that all information provided is true and accurate.* Yes No 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. Shares
