Matching volunteers with elders
and adults with disabilities since 1984

Volunteer Application

Please take a few minutes to fill out and submit this application. We will contact you soon after receiving your information.

Basic Information:

First Name:
Last Name:
Date of Birth (MM/DD/YYYY):
Work Place:
Job Title:

Address Information:

Street Address:
City:
State:
Zip:
My Neighborhood (optional):

Contact Information:

Home Phone:
Work Phone:
Mobile:
Email:
Website:
Preferred Contact Method:

Volunteer Information:

FriendshipWorks has a variety of volunteer opportunities. Please select all that interest you.

Friendly Visitor
May include letter-writing, reading to the visually impaired, helping with bill paying, light errands, escorting on occasional shopping trips, providing telephone reassurance.

Medical Escort (with car)
Involves taking a frail or disabled person to a medical appointment, providing emotional and/or physical support, and helping him or her navigate through medical buildings and hospitals.

Medical Escort (without car)

One-time Assistance
May involve taking an elder to visit a loved one in a nursing home, taking an elder to a special event or non-medical appointment, packing or unpacking boxes, etc.

Strong for Life
An at-home exercise program for seniors. May include stretching, strengthening, flexibility and balance. The Walking Buddies specialty program concentrates on the importance of walking by enabling seniors to take walks comfortably and safely with a volunteer.

La Cadena de Amistad
FriendshipWorks’ bilingual chapter, La Cadena de Amistad volunteers provide bilingual, bicultural services to Spanish-speaking elders, including medical escorts and friendly visiting.

Office Volunteer
Administrative, receptionist, and program assistance at the FriendshipWorks office.

Board / Committee

If you are interested in being matched as a Friendly Visitor, please answer the following questions.

Which neighborhoods are you willing to travel to? Check any that apply:

Allston/Brighton
Back Bay
Bay Village
Beacon Hill
Brookline
Charlestown
Chinatown / Leather District
Dorchester
Downtown / Financial District
East Boston
Fenway / Kenmore
Hyde Park
Jamaica Plain
Mattapan
Mission Hill
North End
Roslindale
Roxbury
South Boston
South End
West End
West Roxbury

Will you travel to visits by car?:

Will you rely on public transportation?:

Would you consider being matched with a person who is blind?:

Would you consider being matched with a person who is disabled?:

Would you consider visiting someone in a nursing home?:

Are you interested in being matched with someone whose ethnicity is different from your own?:

Would you prefer visiting a man or a woman?:

Would you be willing to visit someone with a pet?:

Which pets, if any, are unacceptable?:

Dog
Cat
Snakes
Birds
Fish
Rodents
Other

Do you have any allergies or conditions that would limit your ability to volunteer in someone’s home?:

If yes, please describe:

Emergency Contact Information:

Emergency Contact:
Emergency Contact Relationship:
Emergency Contact Phone:

Previous volunteer experience (not required):

Organization:
Contact Person:
Start Date:
End Date:

Please provide two references (other than family):

(1) Reference Name:
(1) Relation to Volunteer:
(1) Reference Phone:

(2) Reference Name:
(2) Relation to Volunteer:
(2) Reference Phone:

Other Information:

FriendshipWorks takes great care in making matches that are gratifying for both the volunteer and the elderly recipient. To help us match you with a compatible senior, please tell us about yourself.

What are some of your interests and hobbies?:

What languages do you speak? (select any that apply):

Other:

Why do you want to work with the elderly?:

What challenges do you expect as a volunteer?

Demographic Information:

Because FriendshipWorks and our sponsors embrace diversity, we are frequently asked to describe the make-up of our volunteer community. For this reason, we ask volunteers to tell us how they identify themselves. This information is used for statistical purposes only and is not required.

Religious affiliation?:
If other, Religious Affiliation:
Congregation (if any):
If other, Congregation:
Place of birth:
Race: