This form is the Volunteer Application. Please complete all required entries marked with a red asterisk *. This form will not be able to submit without all the required questions answered. Please be as detailed as possible.
If you are interested in Fostering, please complete the Foster Home Application form.
If you can not complete this or any other application or if you have questions, then please email us Email address protected by JavaScript
* First and Last Name * Home Street Address City/Town Zip Code CT / NH / MA / ME / RI / VT
Mailing Address if different from Home address
Upon submission of this form, a YCR volunteer will contact you to provide an update on the status of your application. If your application is approved, you will receive copies of the YCR Code of Ethics and Volunteer Agreement forms for your formal signature. Please note that a signed Code of Ethics form must be on file with YCR before we can officially engage your assistance as a volunteer. IMPORTANT: By typing your full name in the signature field below, you acknowledge that your typed name holds the same legal standing as your handwritten signature. By e-signing this form, you confirm that the information provided is accurate to the best of your knowledge and belief. Furthermore, your e-signature authorizes us to verify this information, including contacting your references and veterinarian. You also consent to your veterinarian sharing information about the health records of your current or past pets with our organization.
Incomplete applications require time to follow up and all requested information is important. When you have answered all the required questions:
Submit Application: Reset form: CAUTION This will clear the entire form.