PetPals Volunteer Application

If you are interested in becoming a PetPals volunteer you must be 18 years old and be able to commit to 2-4 hours a month for at least 6 months. Please first review the requirements for your dog and then fill out the form below.

Requirements for FriendshipWorks PetPals Dogs:

A. Be at least one year of age;
B. Be able to obey basic commands including “sit,” “stay” and “heel;”
C. Be on a flea and tick control program from March to November;
D. Have a physical exam at least 3 months before placement and a fecal exam at least 1 month before placement at a long-term care facility;
E. Have a licensed veterinarian fill out the Animal Health Screening Form (This will be sent to you when we receive your application.);
F. Attend the PetPals Dog Screening and Evaluation to be scheduled by FriendshipWorks staff.

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:

Pet Information

Type of Animal:
Name of Pet:
Age:
Breed of Pet:

Has your pet been through professional obedience training?:

Although not required, has your pet visited in nursing homes, hospitals, schools, or any other facilities?:

If yes, please explain:

Has your pet ever bitten and/or caused bodily harm to a person or another animal?:

If yes, please explain:

If you have a cat, is it able to walk on a leash and harness? (you may leave blank if you do not have a cat)

If you have a cat, is it declawed? (you may leave blank if you do not have a cat)

What types of situations and environments can “spook” your pet?

Other Volunteer Information:

Which neighborhoods are most convenient for you to visit? (check all that apply):

Allston/Brighton
Back Bay
Brookline
Charlestown
Dorchester
Hyde Park
Jamaica Plain
Mission Hill
North End
Roslindale
Roxbury
South Boston
South End
West Roxbury

When are you available to volunteer? (check all that apply):

Any Time
Monday-Friday daytime
Saturday morning
Saturday afternoon
Sunday morning
Sunday afternoon

Which languages can you speak? (check any that apply):

Will you travel to visits by car?:

Will you rely on public transportation?:

What are some of your interests and hobbies?:

Why do you want to work with the elderly?:

What challenges do you expect as a PetPals volunteer?:

How did you hear about us?:

Is there anything else you would like us to know?

Previous Volunteer Experience (not required):

Organization:
Contact Person:
Start Date:
End Date:

Emergency Contact Information:

Emergency Contact:
Emergency Contact Relationship:
Emergency Contact Phone:

Please provide two references (at least one of the references should know your pet):

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

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

Other FriendshipWorks Opportunities:

FriendshipWorks has a variety of volunteer opportunities. Please select any others that you might be interested in.

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
MATCH-UP’s 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 MATCH-UP office.

Board / Committee

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:

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