Phone-a-Friend Application Form for Seniors to Sign Up Phone-a-Friend Application Form for Seniors to Sign Up Application form for seniors to sign up for the Phone-a-Friend program I would love to receive a weekly telephone call from a university student volunteer. * Yes No Name * First Last * Last Email Address * Phone Number * Primary (the number you want a student to call you on) Alt. Phone Secondary City * State * How you found out about the program/Which agency or person referred you? * Interests: What do you love to talk about? * Captcha If you are human, leave this field blank. Submit