Due to extenuating circumstances of COVID-19, Connecticut Children's is suspending all volunteer programming until further notice.
Our 2020 Summer Program has been cancelled.

New User Details
*Highlighted fields are required
Date of Birth


Address Information
E-mail
This e-mail address will be used for all ongoing correspondence.


Emergency Contact
Name and Relationship


Education

Placement Information


Immunization Information


Current Photo
The documentation listed as required must be submitted
in order for your application to be considered complete.
Volunteer Agreement
If you celebrated your 18th birthday
since last summer, download and return
the Information Authorization Form


By submitting my application,I understand that Connecticut Childrens
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 calling the references I have listed on this application,
and 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 Childrens
or any of its affiliates to obtain the record of any conviction for
commission of a felony.