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
(You must be at least 15 years old by 1/1/2020
in order to apply
)


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


Emergency Contact
Name and Relationship


Connecticut Children's Employee Referral Information
Do you have relatives employed at Connecticut Children's?
If YES, please provide name, relationship, and department.
Referred by:
Name


Prior Service History
Have you or any family member ever received services
at Connecticut Children's or any of their satellite locations?


Employment Information



Summer Opportunities

I am available to volunteer at the following
locations. (please check all that apply).
Volunteers must be able to provide their own
transportation to satellite locations.

Listed below are our current summer placement opportunities.

Placement in the Volunteer Program is based on current
needs, your availability, and department-specific
requirements.
(Choose all that apply)
Volunteer shifts are typically 3 hours long.
Morning shifts are scheduled between 9:00am and 1:00pm
Afternoon shifts are scheduled between 1:00pm and 6:00pm
Evening shifts are scheduled 4:00pm and 8:00pm
(Choose all that apply)


Tell Us About You

What extracurricular or community activities
do you participate in?
Describe what you hope to gain through your volunteer
experience at Connecticut Children's.


Recommendation Requirements

Please provide two letters of recommendation.
They should not be from family members.

Link here  



Immunization Requirements

An Immunization Documentation Form
Link Here
signed by your healthcare provider must be
included with your application submission.

If accepted into the program, you will have a
maximum of two weeks to provide documentation
of either a 2-Step PPD OR negative QuantiFERON test.

Current Photo
The documentation listed as required must be submitted
in order for your application to be considered complete.

Summer Program Agreement 
If accepted into the program, would you be willing
to submit to a criminal background check?

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.