Volunteer Registration Form: Friendly Visitors
Please complete this application form if you are interested in becoming a volunteer with our Friendly Visitor Program. Once you complete the form, click the "Continue" button to submit your application.
Requirements for the Friendly Visitor Program
Below are the requirements for this volunteer role. If you do not meet these requirements, please contact our volunteer services department at 781-693-5007 and we will discuss other options with you.
Friendly Visitor volunteers need to:
* Commit to weekly visits
* Commit to volunteer for one year
*
Can you meet these requirements?:
No
Yes
Personal Information
First name:
*
Last name:
*
Title:
Choose
Dr.
Mr.
Mrs.
Ms.
Professor
Rabbi
Senator
The Honorable
Street 1:
*
Street 2:
Street 3:
City:
*
State:
Choose
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
*
Zip:
*
Primary/Cell (required) phone:
*
Secondary phone:
Email address:
*
Date of birth:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
*
Gender:
Choose
Female
Male
Non-Binary
Congreg/Community (if applicable):
*
Ethnicity/Race:
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic, Latinx, or Spanish origin
Multi-racial
Native Hawaiian/other Pacific Islander
Other
White
*
Do you have a vehicle available to use?:
No
Yes
*
Are you willing to drive a client?:
No
Yes
*
Skills and/or Experience:
Accounting/Finance
Administrative
Data Entry
Event Planning
Fundraising
Information Technology
Marketing/PR
Media
Medical Field
Music
Non Profit Management
Nutrition
Other
Research/Analytics
Teaching
*
Employment Status:
Employed
Other
Retired
Student
Present or most recent employer:
Emergency Contact Information
Please list the name and contact information of someone we could contact in the event of an emergency.
First name:
*
Last name:
*
Primary phone:
*
Relationship:
Choose
Client
Co-worker
Daughter
Father
Friend
Mother
Neighbor
Son
Spouse
Supervisor
Reference
Please list the name and contact information of a non-relative as a reference.
First name:
Last name:
How do you know this person?:
Primary phone:
Email address:
Languages Spoken
Which of these languages are you fluent in?
*
I am fluent in:
American Sign Language
Chinese/Mandarin
English
French
German
Hebrew
Polish
Portuguese
Russian
Spanish
Yiddish
Other:
Becoming a Friendly Visitor
Please tell us why you want to become a Friendly Visitor and include any skills or experience you have that are relevant to this role.
Previous Volunteer Experience
Please list your previous volunteer experience including dates, duration, position, and agency/organization.
Additional Comments or Information
Please use this space for any additional comments or information. If you have already spoken to a JF&CS staff member about a volunteer position, please indicate the staff member's name and program below.
How did you hear about us?
*
Check all that apply:
Friend or Family, please describe below
Internet search, please describe below*
JF&CS Publication
JF&CS Website
Other, please describe below
Religious Institution
Other, please describe. * If you reached our website through an internet search, which search terms did you use?
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