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 State Zip Code Email* Cell Phone*Home 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 able to commit to at least 6 consecutive months of service?* Yes No CHS practices limited euthanasia for medical and behavioral reasons. Will you be respectful of these decisions?* Yes No Which of the current volunteer openings (job title and shift) are you applying for? Please list first and second choice.*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 job coach?*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 Please list the nature of the offence.Tell us about yourself and why you want to volunteer for the Connecticut Humane Society.*What types of animals have you owned? (List 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 or volunteered for the Connecticut Humane Society or Fox Memorial Clinic? No Yes, Employed Yes, Volunteered 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.
