Connecticut Childrens Large

Thank you for your interest in volunteering at Connecticut Children's. Volunteers play an important and meaningful role in providing care to our patients and their families. We hope you find your volunteer experience valuable and worthwhile.  Please complete all required fields below to set up your  applicant profile and apply for a volunteer position.

 

New User Details
*Highlighted fields are required

Owner Information

Emergency Contact

Connecticut Children's Employee Referral Information

Availability
Availability - Pet Therapy shifts are typically every other week and last between 1 - 2 hour visits. Additionally, shifts are typically Monday - Friday 10 A.M. - 6 P.M. Schedule will be created based on unit need and handler availability. Please select typical availability.

Prior Service History

Employment Information


Pet Information

Veterinarian Information
Part I - Immunization Dates
Rabies
DHLPP
Bordetella
Fecal Exam

Questionaire
Check all behaviors that your dog has exhibited:
Does your dog dislike:

Additional Information

The documentation listed as required must be submitted in order for your application to be considered complete.

By submitting my application, I understand that Connecticut Children's will consider me for a volunteer position on the basis of the information I have furnished on this application form, and that any false, misleading or incomplete statements made by me, or any omission of material fact shall prevent my volunteering or shall be cause for immediate dismissal from my volunteer assignment.

I understand that the staff of the Volunteer Services Department will be conducting a background check on me prior to being placed. As part of the volunteer application process, and at any time during my volunteer placement, I authorize Connecticut Children's or any of its affiliates to obtain the record of any conviction for commission of a felony.