Not a member?
	Join today »
	Tell a Friend »

Get Our Newsletter

Waterford Volunteer Application

Personal Information

Name:

Title	First Required	Last Required

Email: Required

Street 1: Required

Street 2:

City/State/ZIP:

City Required	State Required	ZIP Required

Employer:

Occupation: Required

Gender:

If you respond and have not already registered, you will receive periodic updates and communications from The Connecticut Humane Society.

Remember me. What's this?

*2.

Question - Required - Home Phone:

Question - Not Required - Work Phone:

Question - Not Required - Cell Phone:

*5.

Question - Required - Education (last year completed)

*6.

Question - Required - Which of our current volunteer openings are you applying for?

*7.

Question - Required - How many hours a week would you like to work?

*8.

Question - Required - What days of the week are you available to volunteer?

*9.

Question - Required - What hours are you available to volunteer? (The CT Humane Society is open 9:30 AM - -5:30 PM, Monday through Saturday and 11:00 AM - 4:00 PM Sunday)

(Maximum response 255 chars, approx. 5 rows of text)

*10.

Question - Required - How long would you like your commitment to last?

*11.

Question - Required - Are you 18 or older? (You must be 18 or older to apply. Children who would like to participate in Foster Care or Pet Therapy must have an adult complete this application.)

*12.

Question - Required - Do you have current health insurance? (Proof of active health insurance is required for all volunteer positions)

*13.

Question - Required - Do you own or lease a car?

*14.

Question - Required - Are you willing to use your car to transport animals or people as part of your volunteer work?

*15.

Question - Required - Have you been convicted of a crime in the past 7 years?

16.

Question - Not Required - If yes, please describe.

(Maximum response 255 chars, approx. 5 rows of text)

*17.

Question - Required - Are you volunteering to meet mandatory community service requirements? Yes, for a school or church program
Yes, for the judicial system
No

18.

Question - Not Required - If yes, how many hours must you complete?

19.

Question - Not Required - When is the deadline?

Month

Day

Year

*20.

Question - Required - Why do you want to volunteer for the Connecticut Humane Society?

21.

Question - Not Required - Tell us about your other volunteer experiences.

*22.

Question - Required - Describe your experience in working with animals and/or the public. Include experience with personal pets, volunteer work, professional training, or school events.

23.

Question - Not Required - List any organizations and animal rights groups to which you have belonged within the last 5 years.(Exclude anything that might indicate the race, religion, sex, national origin or ancestry of its members.)

24.

Question - Not Required - If accepted in to the volunteer program, please identify what reasonable accommodations may be required to enable you to perform the essential job functions.

*25.

Question - Required - Have you ever been employed by the Connecticut Humane Society or Fox Memorial Clinic?

26.

Question - Not Required - If yes, when?

*27.

Question - Required - Have you previously applied to volunteer at the Connecticut Humane Society or Fox Memorial Clinic?

28.

Question - Not Required - If yes, when?

29.

Question - Not Required - Have you adopted a pet from our shelter(s)?

30.

Question - Not Required - If yes, when?

*31.

Question - Required - What is your opinion on spaying/neutering animals?

*32.

Question - Required - Do you feel that there are any medical circumstances in which humane euthanasia would be warranted?

33.

Question - Not Required - Please explain.

(Maximum response 255 chars, approx. 5 rows of text)

*34.

Question - Required - Do you feel that there are any behavioral circumstances in which humane euthanasia would be warranted?

35.

Question - Not Required - Please explain.

COMPLETE THE FOLLOWING QUESTIONS IF YOU ARE INTERESTED IN OUR FOSTER CARE PROGRAM

36.

Question - Not Required - Do you have active auto insurance?

37.

Question - Not Required - Do you have cats?

38.

Question - Not Required - How many?

39.

Question - Not Required - Names

40.

Question - Not Required - Do you have dogs?

41.

Question - Not Required - How many?

42.

Question - Not Required - What other animals do you have?

43.

Question - Not Required - Names:

44.

Question - Not Required - Who is your veterinarian?

45.

Question - Not Required - Is your pet(s) currently healthy and up to date on their vaccinations and/or vaccine titers?

46.

Question - Not Required - Where do you live? Single Family Home
Duplex
Apartment
Other

47.

Question - Not Required - How long have you lived there?

48.

Question - Not Required - If you rent, do you have permission from your landlord to have animals in the dwelling? (If hired as a foster care volunteer, you will need to furnish written proof from your landlord indicating permission to have animals in your home.)

49.

Question - Not Required - How many children in the family?

50.

Question - Not Required - Ages?

51.

Question - Not Required - Are you home during the day? (Nursing animals need to be fed every 2 - 4 hours)

52.

Question - Not Required - Do you have spare rooms? (Foster animals need privacy and may make a mess)

53.

Question - Not Required - Do you have experience handling underage animals?

54.

Question - Not Required - Have you discussed doing foster care with the other members of your household?

55.

Question - Not Required - What type of animals are you interested in fostering? Dogs
Cats
Both

56.

Question - Not Required - Check the areas you are interested in:

	Pregnant animals
	Mothers with Litters
	Behavior modification/Socialization
	Infant puppies/kittens (Require bottle-feeding)
	Self-Sufficient puppies/kittens
	Surgery/Medical Recovery

57.

Question - Not Required - Have you ever done foster care for CHS before?

Thank you for your interest in volunteering for our organization. We receive a high volume of applications every week. It may take us some time to review your paperwork. Please do not contact us to check on the status of your application. Please allow us the opportunity to take the time that we need to evaluate your application. We will contact you as soon as we are able. Thank you in advance for your cooperation.