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

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