Apply to Volunteer to Provide Grief Support

Apply to Help Other Suicide Loss Survivors

Thank you for considering Samaritans as a place to donate your time. Losing a loved to suicide is a painful and difficult experience. Samaritans’ Grief Support Services provides support to suicide loss survivors – people who have lost loved ones to suicide. Our Grief Support Services volunteers have been personally impacted by a loss to suicide and are at a place in their own healing which allows them to help others as they travel a similar path after a tragic loss.

Prospective volunteers attend at least four SafePlace meetings and participate in approximately 15 hours of training in grief support and facilitation. When training is completed, our volunteers dedicate a minimum of four hours per month to our program.

Volunteers are vital to our program and to meeting the needs of suicide loss survivors across the country. At Samaritans, we know that your time is precious, and we want every minute you spend with us to be worthwhile. That’s why we’re asking you to take a few minutes to fill out this application. It will help us ensure that this volunteer opportunity is a good fit for you and for Samaritans.

1. Volunteer Commitment
Please initial your confirmation of the statements below.
I understand that Grief Support Services volunteers must attend four SafePlace meetings, participate in 15 hours of training, and dedicate a minimum of four hours a month to Samaritans.*
I am a suicide loss survivor and feel that this loss was transformational in my life.*
I am empathetic and compassionate.*
I am punctual, reliable and respond to requests in a timely manner.*
I am over 21 years old.*
2. Contact Information
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Birthdate*
Do you have access to a car?
- Yes
- No
How Did You Hear About Us?*
3. Essays
Are you currently a Samaritans volunteer? If yes, please list your involvement and the amount of time you have served in each role.*
Please tell us about the loved one(s) you lost to suicide, your relationship, the loss, and where you are in the process of grieving.*
What motivates you to want to be part of the Grief Support Services Team?*
What would you like to learn or gain from your volunteer experience?*
What characteristics do you feel you possess that would be helpful in this work?*
What would be the most challenging aspect of this work for you?*
In what ways have you learned to take care of yourself physically and emotionally?*
Please share any questions or concerns you have about the Grief Support Services Program. Please include anything you feel would be important to cover in the training and the on-going supervision.*
What program(s) within Grief Support Services are you interested in?*
- SafePlace
- Survivor to Survivor Network
- Both SafePlace and Survivor to Survivor
Are there any other parts of the organization that you would like to be involved in other than Grief Support Services?
- Helplines
- 5K
- Breakfast for Hope
- Outreach/Speaking
4. References
List three character references that know you well and can attest to your abilities and suitability for Grief Support Services volunteer work (one reference MUST be a family member).
Reference 1 Name*
Reference 1 Email*
Reference 1 Phone*
Reference 1 Relationship to You / Years Known*
Reference 2 Name*
Reference 2 Email*
Reference 2 Phone*
Reference 2 Relationship to You / Years Known*
Reference 3 Name*
Reference 3 Email*
Reference 3 Phone*
Reference 3 Relationship to You / Years Known*
5. Volunteer Agreement
***Please Read Before Signing***

As an applicant for a volunteer position, I understand that CORI (Criminal Offender Record Information) and a SORI (Sex Offender Registry Information) background check will be conducted and that it will not necessarily disqualify me. I certify that all information provided by me in support of my volunteer application is true and correct to the best of my knowledge. I understand that misrepresentations or omissions may be cause for rejection, or may be cause for subsequent dismissal. I give Samaritans permission to investigate all information concerning my volunteer application in order to determine my qualifications. I understand that any offer of volunteer work may be rescinded if the results of the investigation are unacceptable to Samaritans at its sole discretion.
Signature*
Comments
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Our Services

Samaritans provides lifesaving suicide prevention services throughout Massachusetts. Our services are free, confidential, and nonjudgmental.

You can call or text us anytime you feel isolated, desperate, suicidal, or concerned about someone else in your life.

Hey Sam is a peer-to-peer texting service for people up to 24 years old.

If you have lost a loved one to suicide, you can find support through events, meetings, and peer networks.

Learn how to help someone in crisis by hosting a suicide prevention workshop at your school, workplace, or organization.

Apply to Volunteer to Provide Grief Support

Apply to Help Other Suicide Loss Survivors

1. Volunteer Commitment

2. Contact Information

3. Essays

4. References

5. Volunteer Agreement

Our Services

24/7 Helpline

Hey Sam

Grief Support Services

Community Education

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