Perkins Volunteer Application

Please fill out the following form. You can also download a PDF version ยป

If you have any questions contact Mike Cataruzolo at Volunteers@Perkins.org or 617-972-7224.











Emergency Contact




Education and Experience/Interests






(examples: CPR, First Aid, Water Safety, Sign Language, etcetera)



Volunteer Availability





(Format: mm/dd/yyyy)

(Format: mm/dd/yyyy)
Please indicate your areas of interest in order of priority



Personal References
Please list name, address, and telephone number of two character references, not including relatives:


I attest that all the above information is correct and accurate. I authorize Perkins to contact the above individuals for a character reference.

Typing your full name serves as your signature.
     
Want to stay informed about Perkins volunteering?