We Need Volunteers    
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Sponsors & Supports of Pets on Wheels of Connecticut

Become A Volunteer

* Denotes Required Information

CONTACT INFORMATION
Name *
Email Address *
Phone Numbers Cell Phone
Home Phone
Work Phone
Preferred Method of Contact

Email
Cell Phone
Home Phone
Work Phone

Address *
City *
State*
Zip Code *
Organization/Employer
Occupation
Are you 18 years or older?

VOLUNTEER INTERESTS
Please check all your areas of interest:

Fundraising Team Marketing Team Grant Writing Team
Event Planning Team Pet Placement Team
(speaking to clients, conducting
interviews)
Board Membership
Operations Team
(answering phones, emails,
setting up schedules for
pickup/delivery, handling
referrals coming in)
On the Road Team
(delivery and/or pick up animals;
picking up donated supplies,
delivering supplies)
 

Do you have other interests or skills you think may be of interest to us?
ADMINISTRATIVE QUESTIONS
Have you ever had your own cat or dog?
If yes, please describe your experience
How many hours bi-weekly/monthly would you like to volunteer?
Would you prefer to assist by working from home?
What days and hours of the week are best for you? Weekdays
Weekends
Evenings
Do you have your own car you would be willing to use for volunteering?
Have you ever been convicted of a crime other than a traffic violation?
If yes, please describe
Please Provide 3 References
Reference 1  
Name
Address
Phone
Reference 2  
Name
Address
Phone
Reference 3  
Name
Address
Phone

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