Volunteer Application

Basic Information:

Address Information:

Contact Information:

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?:
Yes No

Will you rely on public transportation?:
Yes No

Would you consider being matched with a person who is blind?:
Yes No

Would you consider being matched with a person who is disabled?:
Yes No

Would you consider visiting someone in a nursing home?:
Yes No

Are you interested in being matched with someone whose ethnicity is different from your own?:
Yes No

Would you consider visiting someone who smokes?:
Yes
No

Would you prefer visiting a man or a woman?:
Man Woman Either

Would you be willing to visit someone with a pet?:
Yes No

Which pets, if any, are unacceptable?:
Dog
Cat
Other

Do you have any allergies or conditions that would limit your ability to volunteer in someone’s home?:
Yes No

If yes, please describe:

Emergency Contact Information:

Previous volunteer experience (not required):

Please provide two references (other than family):

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.