Thank you for your interest in volunteering as a Pet Partner team at United Hospital.

Please complete this application if you are:

" an individual 18 years or older

" a registered canine team with Pet Partners (formally Delta Society) or you are currently in the evaluation process.

Once you complete the form, click the continue button at the bottom.

" A valid email address is a requirement to using the on-line Application process. Please make sure you type the email correctly - as it will be used as a communication tool in the application process. We do not share email addresses with any other party, internal or external.

" All items with a asterisk (*) are required fields.

Please note; your volunteer application and any submitted health documents will be retained for 30 days. Please be sure to complete the steps below within 30 days to ensure you don’t have to reapply and resubmit forms.

Name and address

Demographic Information

Please provide the following information. It is used only to help us get a better idea of the demographic make-up of our volunteers.

Email Preferences

We like to keep volunteers informed of important news, schedules, and volunteer opportunities. The primary media we use to do this is email. Use the checkboxes below to select the kinds of email you would like to receive from us. The email you provide is exclusively for our use. We do not share it with third parties.

The "Application follow up" and "Volunteer Center Communication" must be checked or you will miss required information regarding next steps in the volunteer placement process. All this informatin is communicated by email.

Immunization Requirement

Evidence of immunity is a requirement for volunteering at United Hospital. Once your application is received an email will be sent with information on how to begin the health clearance process.

Volunteer Applicant Consent

Thank you for taking the time to complete this application.

By checking this box you are indicating that the information in this application is accurate and correct to the best of your knowledge.

Failure to fully and truthfully complete this application may result in denial of volunteer service or termination from the service. You are agreeing to provide United Hospital with a minimum of 60 volunteer service hours within a 6 month period. United Hospital Volunteer Center is not obligated to provide placement, nor are you obligated to accept the position offered. We reserve the right to place volunteers in the area we feel is best suited to their skills and the needs of the hospital.