Pet Therapy - Canine Owner Application
I am over the age of 18. I am NOT a High School student
Current / Most Recent Employer
Pet Therapy Information
Have you been certified as a team?
When were you certified?
Name of certification facility or evaluator
Where would you be most interested in serving?
The Institute of Living (behavioral campus)
The Main Hospital Campus Inpatient areas
The Main Hospital campus Lobby greeter
All areas as needed
Do you have previous experience as a pet therapy team? If so, where?
What date are you available to begin volunteering? (A minimum 6-month commitment is required)
Please check your preferred shift(s)
Have you had a Tuberculosis test within the past 12 months?
Influenza vaccination (flu shot) is required for all volunteers. Flu shots will be available free of charge at Hartford Hospital beginning in late October. I understand that I must have documentation of a current flu shot to volunteer during flu season.
** Please remember to complete the Canine Application for your pet.
's Volunteer Management Web Interface by