Volunteer/Internship Form

*In addition to completing this application form, you must also submit two letters of reference from people who know you well (other than family). Emailed references will suffice and may be sent to [email protected].

Please note: Our volunteer and internship opportunities are customized based on the applicant’s interests, BHCHP’s needs, and open positions.  We will do our best to create an experience that is varied and meets your needs, but cannot always guarantee a position.

If you cannot complete this application online, please feel free to fax to (857) 654-1095 or mail to: Service Programs, Boston Health Care for the Homeless Program, 780 Albany Street, Boston, MA 02118.

PERSONAL INFORMATION:
Home Address
Date of Birth *
Format: 12/16/2017
Whom to notify in case of emergency?
Expected Participation
Date you are available to start
E.g., 12/16/2017
e.g. Mondays 8am to 12pm