Online Application

Before submitting your online application please use the Paypal Pay Now button below to submit your non-refundable donation of $15.00 required for us to process your application. After you complete the Paypal payment you will be presented with the Brookline online application. If you do not hear back from us within 10 days of submitting your application or have problems submitting the application, please contact us.

Once you have completed your transaction through PayPal, please do not use the exit button at the top right corner of the PayPal screen. Instead, please click the ‘Return to Merchant’  link on the PayPal confirmation screen to be directed to the online application.

Click here to begin the Online Application:

If you are unable to complete the application after making your payment by PayPal, please send an e-mail to

If you do not have a Paypal account you can fill out and mail your application to Brookline. Download the application form here.

Before proceeding with the application process, please check our Coverage Area page to determine if there is volunteer coverage in your area. We are experiencing a shortage of volunteers in both Area 4 and Area 9.

We have limited coverage in Lower Bucks County, Philadelphia, Berks and Lancaster Counties at this time. Please confirm coverage by e-mailing before paying to submit an application.

If you are unsure of coverage in your area, please contact us before submitting.