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Thank you for your interest in volunteering at Covenant HealthCare! Please allow yourself approximately 15 minutes to accurately and thoroughly complete this volunteer application. If you have trouble completing this application, please contact Volunteer Services, 989.583.4189.

New User Details
Applicant Information
Emergency Contact Information
Dog Information
References
Please provide name and phone number for two references. Do not list relatives.
Employment History
Please list information for your two most recent employers.
Volunteer Experience

Other volunteer services you have participated in. Please include type of duties performed.

Education
Skills and Scheduling
All volunteers will be required to work minimally 3-4 times per month.
Additional Information
Authorization and Signature

I understand the time and financial commitment involved with becoming a certified dog handler. I also understand I am required to fulfill all of the requirements outlined in the Canine Therapy Program at Covenant HealthCare. I fully accept all the terms and conditions stated here.

I certify that the responses on this application are true to the best of my knowledge. I agree that this information may be verified and my references may be contacted by Covenant HealthCare Volunteer Services. I authorize Covenant HealthCare to perform all necessary background checks and understand my date of birth is necessary for these checks. If accepted for volunteer placement, I will comply with the values, policies and procedures of Covenant HealthCare in effect or revisions which may be issued in the future.  Misrepresentation of facts constitutes cause for separation from volunteer placement. I understand that the position that I am applying for is an unpaid volunteer position.