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PinkHippy.org is a
501(c)(3) nonprofit organization
registered in Massachusetts.




Become a Bosom Buddy Network Volunteer

As a volunteer you can choose to connect either in person at one of our meetings or events, or on the phone.  To become a volunteer we need to know a little bit more about you, so please fill out and submit the form below. You will be contacted by a PinkHippy.org Board Member once your application is received.

fields with an *asterik are required

First Name: *


Last Name: *

Address: *

City: *   State: *   Zip Code: *

Phone:  *  Email: *

Best time to reach you: *


Please tell us a bit more about you so that we can better match you with someone in need of a Bosom Buddy 

How breast cancer touched my life (please check all that apply):

I am a Survivor
Spouse of someone who has/had breast cancer
Child of someone who has/had breast cancer
Parent of someone who has/had breast cancer
Grandparent of someone who has/had breast cancer
Sibling of someone who has/had breast cancer
Friend of someone who has/had breast cancer


Your Birthdate: 
   Month Day Year *


Please tell us why you would like to volunteer to be a part of our Bosom Buddy Network*:



Please list any organizations that you have been involved with as a volunteer along with your title/duties*:



serving those in
SouthCentral Massachusetts
NorthEastern Connecticut
NorthWestern Rhode Island
and beyond info@pinkhippy.org
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