Volunteer Form

All fields are required - please complete the entire form.
Please review our hours of operation before submitting your application. 

Group Name (if applicable)
First Name
Last Name
Mailing Address
City/Town
State
Zip
Permanent Address
City/Town
State
Zip
Home Phone
Mobile Phone
Email
Emergency Contact
Name
 
Phone Number
Group applications only:
How many people in your group?
If under 18, how many chaperones?
Have you volunteered with us before?
If so, when?
Have you been in contact with anyone at Haley House?
If so, who?
Do you have a driver's license?
Do you have a car?
Are you comfortable driving a van/SUV in Boston?
Most Recent Employer or Educational Institution:
Name
Address
City/Town
State
Zip
Do you have a major area of expertise or specific skills we should know about?
What programs at Haley House are you interested in volunteering for?
What days and hours are you available?
How often would you like to volunteer?
Are you interested in volunteering for special event opportunities?
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