Completing the Gift of Life.

Volunteer Form

Please Fill Out Our Volunteer Form:

Volunteer Form

Two Personal References (excluding family members). Please provide a complete address, as reference are verified by mail.

Identified Areas of Interest: (non-patient does not require 30 hour education course)

Death and Dying

As a volunteer, I realize that I am subject to a code of ethics similar to that which binds the professional in the field in which I work. I, like them, assume certain responsibilities and expect to account for what I do in terms of what is expected of me.

I understand that any information that is disclosed to me while assisting the Hospice is confidential.

I interpret "volunteer" to mean that I have agreed to work without compensation in money. Having been accepted as a volunteer worker, I expect to do my work according to the standards set forth in the Volunteer Policies and Procedures.
I hereby certify that the statements made on this application are true and correct to the best of my knowledge. l understand that, by submitting this application, I authorize inquiries to be made concerning my employment, character and public records for the purpose of determining my suitability as a volunteer. I affirm that I have read the volunteer Code of Ethics and agree to abide by its regulations. I agree to respect the confidentiality of any client information I acquire in the course of my volunteer activities with Hospice.